Organization
ST. MICHAEL'S LABS SAN ANTONIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA C KELLNER DOC (DIRECTOR OF MEDICAL CREDENTIALING)
(713) 586-6705
Entity
Organization
Contact information
Practice address
18518 HARDY OAK BLVD, SUITE 100, SAN ANTONIO, TX 78258-4759
(713) 586-6705
(713) 586-6752
Mailing address
PO BOX 925185, HOUSTON, TX 77292-5185
(713) 586-6705
(713) 586-6752
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
801160206
TX
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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