Organization
ELITE CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE LEVY POCHE (OPERATIONS COORDINATOR)
(832) 485-7155
Entity
Organization
Contact information
Practice address
1917 ASHLAND ST STE 120, HOUSTON, TX 77008-3907
(832) 485-7155
(832) 436-1739
Mailing address
1800 ST JAMES PL STE 400, HOUSTON, TX 77056
(832) 485-7155
(832) 436-1739
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1061571
TX
Other
Enumeration date
12/06/2010
Last updated
08/27/2012
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