Organization
COMMUNITY MEDICAL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FORE (OWNER)
(713) 631-7425
Entity
Organization
Contact information
Practice address
8300 HOMESTEAD RD, HOUSTON, TX 77028-2145
(713) 631-7425
(713) 631-2965
Mailing address
8300 HOMESTEAD RD, HOUSTON, TX 77028-2145
(713) 631-7425
(713) 631-2965
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1035724
TX
Other
Enumeration date
05/09/2006
Last updated
06/23/2008
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