# NM LABORATORY SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1669088159
- **Authorized official:** NIKITA MOODIE (CEO)
- **Authorized official phone:** (513) 978-7247

## Contact information

- **Practice address:** 7109 W LOOP 1604 N LOT 137, SAN ANTONIO, TX 78254-9557
- **Practice address phone:** (513) 978-7247
- **Mailing address:** 7109 W LOOP 1604 N LOT 137, SAN ANTONIO, TX 78254-9557
- **Mailing address phone:** (513) 978-7247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2020
- **Last updated:** 09/20/2020