Organization
ST MICHAELS LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH A LOPEZ M.D., (LABORATORY DIRECTOR)
(713) 812-1612
Entity
Organization
Contact information
Practice address
3726 DACOMA ST, HOUSTON, TX 77092-8906
(713) 812-1612
Mailing address
PO BOX 924587, HOUSTON, TX 77292-4587
(713) 812-1612
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1044582
TX
Other
Enumeration date
03/19/2007
Last updated
10/30/2008
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