Organization
SONIC LABZONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINO HERRERA ORANTES (PRESIDENT)
(314) 680-6924
Entity
Organization
Contact information
Practice address
1531 FAIRVIEW AVE, SUITE 2, SAINT LOUIS, MO 63132-1323
(314) 680-6924
Mailing address
8800 W SAM HOUSTON PKWY S, SUITE 241, HOUSTON, TX 77099-5208
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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