Organization
WKLV LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINGH PHAN (CEO)
(832) 457-5376
Entity
Organization
Contact information
Practice address
19073 I 45 S, STE 145, SHENANDOAH, TX 77385-8743
(832) 457-5376
Mailing address
19073 I 45 S, STE 145, SHENANDOAH, TX 77385-8743
(832) 457-5376
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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