Organization
US LAB HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT VITATOE (MANAGER)
(816) 309-0569
Entity
Organization
Contact information
Practice address
2500 E TC JESTER BLVD STE 201, HOUSTON, TX 77008-1458
(816) 309-0569
Mailing address
10132 SHORE PINE AVE, LAS VEGAS, NV 89129-8174
(816) 309-0569
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/08/2022
Last updated
01/10/2022
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