Organization
WILKENFELD MEDICAL LABORATORIES, I, LTD.
Active
Other names
Wilkenfeld Medical Laboratories, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME STANLEY WILKENFELD M.D. (LABORATORY MANAGER)
(713) 468-0738
Entity
Organization
Contact information
Practice address
8830 LONG POINT RD, SUITE 104, HOUSTON, TX 77055-3040
(713) 464-5326
Mailing address
PO BOX 800967, HOUSTON, TX 77280-0967
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL0291
BCBS
TX
Enumeration date
01/31/2007
Last updated
07/12/2007
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