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Organization

CENTRAL CLINICAL LABORATORIES LLC

Active
Parent organization
CENTRAL CLINICAL LABORATORIES LLC
Other names
CENTRAL CLINICAL LABORATORIES
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL CLINICAL LABORATORIES LLC
Authorized official
MRS. ABBY RANEY (VP/OPERATIONS)
(913) 547-1619
Entity
Organization

Contact information

Practice address
1322 SPACE PARK DR, SUITE A195, HOUSTON, TX 77058-3400
(913) 547-1619
(888) 355-5137
Mailing address
1322 SPACE PARK DR, SUITE A195, HOUSTON, TX 77058-3400
(913) 547-1619
(888) 355-5137

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2052244
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45D2052244
CLIA
TX
Enumeration date
06/24/2013
Last updated
09/14/2016
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