MEDICARE: L&C CARES 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	:	1649923145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L&C CARES LLC

Provider Business Mailing Address
First Line	:	1911 TAMPA BAY WAY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-4022
Country	:	US
Telephone Number	:	682-270-9885
Fax Number	:

Provider Business Practice Location Address
First Line	:	1911 TAMPA BAY WAY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-4022
Country	:	US
Telephone Number	:	682-270-9885
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MICHELLE WILLIAMS
Credential	:
Telephone Number	:	682-270-9885

Provider Enumeration Date	:	02/03/2022
Last Update Date	:	02/03/2022

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Directions to “L&C CARES LLC ” Practice Location

Language	Start Address	Practice Location

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