Organization
MY HEALTH LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D. SADLER JR. MEDICAL TECHNOLOGIST (CEO)
(713) 517-1875
Entity
Organization
Contact information
Practice address
4106 TIDEWATER DR, HOUSTON, TX 77045-4338
(713) 517-1875
Mailing address
PO BOX 14182, HOUSTON, TX 77221-4182
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1042857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1042857
CLIA ID #
TX
Enumeration date
06/12/2008
Last updated
03/26/2015
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