Organization
MISSION DIAGNOSTICS, LLC
Active
Other names
A&M Health Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
LENA SHAH (OWNER)
(832) 372-0397
Entity
Organization
Contact information
Practice address
10414 ROCKLEY RD, HOUSTON, TX 77099-3524
(281) 617-7586
Mailing address
PO BOX 197, IOWA, LA 70647-0197
(888) 395-0423
(888) 409-5754
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2054829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2054829
CLIA
TX
Enumeration date
05/22/2015
Last updated
05/22/2015
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