Organization
SHALONDA RENEE JOHNSON
Active
Other names
Elite ProLab Mobile Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHALONDA RENEE JOHNSON CPT (OWNER)
(832) 427-6743
Entity
Organization
Contact information
Practice address
16506 FM 529 RD STE 115, HOUSTON, TX 77095-1463
(346) 255-2192
(832) 201-7383
Mailing address
16506 FM 529 RD STE 115, HOUSTON, TX 77095-1463
(832) 427-6743
(832) 201-7383
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
12/09/2020
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