Organization
LAB SERVICES INC
Active
Other names
LabServices Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO GAYTAN JR. MT(ASCP) CLS(NCA) (DIRECTOR)
(956) 424-3000
Entity
Organization
Contact information
Practice address
2031 E GRIFFIN PKWY, MISSION, TX 78572-3222
(956) 424-3000
Mailing address
2031 E GRIFFIN PKWY, MISSION, TX 78572-3222
(956) 424-3000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1010460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1010460
CLIA #
TX
01
—
CL5133
BCBS #
TX
Enumeration date
10/31/2005
Last updated
06/22/2022
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