MEDICARE: ALBORZ CLINICAL LABORATORY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1356231245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBORZ CLINICAL LABORATORY LLC

Provider Business Mailing Address
First Line	:	5870 HIGHWAY 6 N STE 319
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1857
Country	:	US
Telephone Number	:	346-441-8842
Fax Number	:	281-815-8459

Provider Business Practice Location Address
First Line	:	5870 HIGHWAY 6 N STE 319
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1857
Country	:	US
Telephone Number	:	832-241-8822
Fax Number	:	281-815-8459

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	NARENDRA GANGAVARAPU
Credential	:
Telephone Number	:	312-395-7290

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	01/05/2026

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