Organization
PRIMARYLAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKESHA HAIRSTON RN (OWNER/EXECUTIVE ADMINISTRATOR)
(210) 706-0512
Entity
Organization
Contact information
Practice address
700 S ZARZAMORA ST STE 300, SAN ANTONIO, TX 78207-5249
(210) 706-0512
Mailing address
PO BOX 690443, SAN ANTONIO, TX 78269-0443
(210) 706-0512
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
02/19/2021
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