Organization
ELI-LEO LLC
Active
Other names
Laredo Diagnostic Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
LEONEL HERNANDEZ (GENERAL MANAGER)
(956) 236-9028
Entity
Organization
Contact information
Practice address
6262 MCPHERSON RD, STE# 107, LAREDO, TX 78041-6171
(956) 717-2821
(956) 717-0630
Mailing address
6262 MCPHERSON RD, STE# 107, LAREDO, TX 78041-6171
(956) 717-2821
(956) 717-0630
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Enumeration date
10/09/2007
Last updated
11/01/2007
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