Organization
BERNSTEIN ASSOCIATED MANAGEMENT,LLC
Active
Other names
Lockwood Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNIE FERRELL RUCKER PHD (DIRECTOR)
(713) 670-0975
Entity
Organization
Contact information
Practice address
4315 LOCKWOOD DRIVE, HOUSTON, TX 77026-4117
(713) 670-0975
(713) 670-0998
Mailing address
4315 LOCKWOOD DR, HOUSTON, TX 77026-4117
(713) 670-0975
(713) 670-0998
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45DO970553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLIA 45DO970553
MEDICAL LOBORATORY
TX
05
—
LOCL84288
—
TX
Enumeration date
12/19/2006
Last updated
08/22/2020
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