# BNB DIAGNOSTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417561358
- **Authorized official:** BRENNEN LARK (OFFICER)
- **Authorized official phone:** (504) 494-3543

## Contact information

- **Practice address:** 350 NURSERY RD STE 3102, SPRING, TX 77380-4079
- **Practice address phone:** (346) 351-1203
- **Mailing address:** 350 NURSERY RD STE 3102, SPRING, TX 77380-4079
- **Mailing address phone:** (346) 351-1203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 11/15/2021