Organization
REGIONAL LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PAUL GIETZ (PRESIDENT)
(361) 575-4821
Entity
Organization
Contact information
Practice address
2110 N NAVARRO ST, VICTORIA, TX 77901-4829
(361) 575-4821
(361) 576-0871
Mailing address
PO BOX 420009, HOUSTON, TX 77242-0009
(713) 559-6929
(713) 559-6928
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375990401
—
TX
Enumeration date
05/24/2017
Last updated
11/08/2017
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