Organization
PRECISION MOLECULAR LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY OZOUDE (PRESIDENT)
(832) 483-8124
Entity
Organization
Contact information
Practice address
11240 FM 1960 RD W, SUITE 402, HOUSTON, TX 77065-3662
(832) 478-9926
Mailing address
4141 SOUTHWEST FWY, SUITE 390, HOUSTON, TX 77027-7313
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2111127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2111127
CLIA
TX
Enumeration date
05/02/2016
Last updated
05/02/2016
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