MEDICARE: LABORATORY CONCEPTS

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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1497396881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABORATORY CONCEPTS

Provider Business Mailing Address
First Line	:	PO BOX 441571
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77244-1571
Country	:	US
Telephone Number	:	281-671-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 GENTRYSIDE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077
Country	:	US
Telephone Number	:	281-671-7200
Fax Number	:

Authorized Official
Title or Position	:	LAB DIRECTOR
Name	:	STEPHANIE HALLIDAY
Credential	:
Telephone Number	:	832-660-8458

Provider Enumeration Date	:	10/07/2019
Last Update Date	:	04/27/2020

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Directions to “LABORATORY CONCEPTS ” Practice Location

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