Organization
SONIC LABZONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINO HERRERA ORANTES (PRESIDENT)
(281) 546-8791
Entity
Organization
Contact information
Practice address
8800 W SAM HOUSTON PKWY S, SUITE 241, HOUSTON, TX 77099-5208
(281) 546-8791
(281) 914-4399
Mailing address
9909 TOPANGA CANYON BLVD, SUITE 258, CHATSWORTH, CA 91311-3602
(281) 546-8791
(281) 914-4399
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1063471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1063471
CLIA
TX
Enumeration date
02/14/2007
Last updated
10/08/2008
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