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Organization

CLEAR LAKE LABORATORY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD J BABA MD (PRESIDENT)
(281) 824-5442
Entity
Organization

Contact information

Practice address
202 N TEXAS AVE, SUITE 200, WEBSTER, TX 77598-4967
(281) 824-5442
(281) 557-7959
Mailing address
202 N TEXAS AVE, SUITE 200, WEBSTER, TX 77598-4967
(281) 824-5442
(281) 557-7959

Taxonomy

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

Other

Enumeration date
01/25/2010
Last updated
01/25/2010
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