Organization
EXTENDED LABORATORY SERVICES, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLARK (MEDICAL DIRECTRO)
(281) 556-1662
Entity
Organization
Contact information
Practice address
6160 SOUTH LOOP E, HOUSTON, TX 77087-1010
(281) 556-1662
Mailing address
PO BOX 12913, HOUSTON, TX 77217-2913
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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