Organization
DOC'S LAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO SEPULVEDA (MANAGER)
(210) 579-0561
Entity
Organization
Contact information
Practice address
1919 OAKWELL FARMS PKWY STE 180, SAN ANTONIO, TX 78218-1777
(210) 579-0560
Mailing address
PO BOX 4193, MCALLEN, TX 78502-4193
(956) 510-8898
(956) 510-8852
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2045368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2045368
CLIA
TX
Enumeration date
09/18/2012
Last updated
07/21/2022
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