Organization
DIAGNOSTIC AFFILIATES OF NORTHEAST HOU LLC
Active
Other names
24 Hour Covid
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN TARASENKO (COO)
(281) 319-8378
Entity
Organization
Contact information
Practice address
22001 NORTHPARK DR STE 221, KINGWOOD, TX 77339-3804
(281) 319-8378
Mailing address
22751 PROFESSIONAL DR STE 210, KINGWOOD, TX 77339-6021
(281) 908-0686
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
01/04/2023
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