Organization
INTUIT TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUNIT KAMLESH PATEL (OWNER)
(817) 287-8044
Entity
Organization
Contact information
Practice address
2634 HIGHWAY 36 S, BRENHAM, TX 77833-9600
(833) 483-7800
(833) 483-7800
Mailing address
2634 HIGHWAY 36 S, BRENHAM, TX 77833-9600
(844) 546-8848
(844) 546-8848
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2196895
CLIA
TX
Enumeration date
02/18/2021
Last updated
06/30/2021
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