Organization
SSA LAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAROJINI BOSE MD (MEDICAL DOCTOR)
(956) 603-2594
Entity
Organization
Contact information
Practice address
801 E NOLANA AVE STE 9, MCALLEN, TX 78504-6113
(956) 603-2594
(956) 259-8085
Mailing address
801 E NOLANA AVE STE 9, MCALLEN, TX 78504-6113
(956) 603-2594
(956) 259-8085
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L3248
MEDICAL LIC.
TX
Enumeration date
04/17/2018
Last updated
04/17/2018
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