Organization
MOBILE COVID TESTING LLC
Active
Other names
Mobile Covid Testing LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHMUEL ROTTMAN (OWNER)
(214) 400-3130
Entity
Organization
Contact information
Practice address
5726 DUMFRIES DR, HOUSTON, TX 77096-4819
(214) 400-3130
Mailing address
5726 DUMFRIES DR, HOUSTON, TX 77096-4819
(832) 402-7812
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2216881
CLIA
TX
Enumeration date
04/29/2021
Last updated
08/14/2021
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