Organization
ZENITH LABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRUS KASHEF (CFO)
(210) 301-1180
Entity
Organization
Contact information
Practice address
1212 ALPINE RD, LONGVIEW, TX 75601-5701
(903) 212-4302
(903) 212-4304
Mailing address
PO BOX 732975, DALLAS, TX 75373-2975
(210) 301-1180
(210) 877-9695
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00316754
—
GA
05
—
0532410
—
NJ
05
—
06123263
—
MS
05
—
099517
—
AZ
05
—
10026564300
—
NE
05
—
143289
—
OH
05
—
1568840593
—
IA
05
—
1568840593
—
ID
05
—
1568840593
—
ME
05
—
1568840593
—
MO
05
—
1568840593
—
MT
05
—
1568840593
—
UT
05
—
1568840593
—
VA
05
—
1568840593
—
WI
05
—
1635133
—
AK
05
—
177904
—
AL
05
—
20061732
—
OK
05
—
201124480A
—
KS
05
—
201330240A
—
IN
05
—
2048327
—
WA
05
—
210177709
—
AR
05
—
2405934
—
LA
05
—
3105679
—
NH
05
—
3504649
—
TX
05
—
51981386
—
NM
05
—
7100394590
—
KY
05
—
89027
—
IL
05
—
94780064
—
CO
Enumeration date
05/11/2015
Last updated
11/06/2018
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