Organization
ANDRE LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ANDRADE RMT (LABORATORY MANAGER)
(915) 328-6318
Entity
Organization
Contact information
Practice address
1570 LOMALAND, SUITE C, EL PASO, TX 79935
(915) 328-6318
(915) 857-0492
Mailing address
1570 LOMALAND, SUITE C, EL PASO, TX 79935
(915) 328-6318
(915) 857-0492
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000CL5123
BLUE CROSS BLUE SHIELD TX
TX
05
—
1616120
—
TX
Enumeration date
01/22/2007
Last updated
08/22/2020
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