Organization
BCM CLINIC LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA BEATY (EXECUTIVE DIRECTOR)
(713) 798-1127
Entity
Organization
Contact information
Practice address
6620 MAIN ST, SUITE 11D.23, HOUSTON, TX 77030-2348
(713) 798-2313
Mailing address
6620 MAIN ST, SUITE 1275, HOUSTON, TX 77030-2348
(713) 798-2313
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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