Organization
MEDSHIELD LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYEDA KUBRABEGUM (OWNER)
(972) 585-1524
Entity
Organization
Contact information
Practice address
9319 LBJ FWY STE 102, DALLAS, TX 75243-3440
(773) 297-8945
Mailing address
9319 LYNDON B JOHNSON FWY STE 102, DALLAS, TX 75243-3440
(972) 585-1524
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2587731
—
LA
05
—
440038401
—
TX
Enumeration date
01/03/2022
Last updated
05/24/2023
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