Organization
LODESTAR DIAGNOSTIC LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY GITLIN (OWNER)
(713) 380-5818
Entity
Organization
Contact information
Practice address
11301 FALLBROOK DR STE 108, HOUSTON, TX 77065-4987
(713) 380-5818
Mailing address
11301 FALLBROOK DR STE 108, HOUSTON, TX 77065-4987
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2074778
TX
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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