Organization
BEL NOME LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PUNIT PATEL (OWNER)
(817) 287-8044
Entity
Organization
Contact information
Practice address
818 E VILLA MARIA RD, BRYAN, TX 77802-5337
(877) 752-2770
(877) 752-2770
Mailing address
818 E VILLA MARIA RD, BRYAN, TX 77802-5337
(877) 752-2770
(877) 752-2770
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2252702
CLIA
TX
Enumeration date
04/29/2022
Last updated
04/29/2022
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