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Organization

DE LABORATORY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORINNA PORRAS (MANAGER)
(281) 942-7989
Entity
Organization

Contact information

Practice address
2450 FONDREN RD STE 265, HOUSTON, TX 77063-2318
(562) 534-5094
Mailing address
2450 FONDREN RD STE 265, HOUSTON, TX 77063-2318
(281) 942-7989

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
07/06/2020
Last updated
05/26/2023
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