MEDICARE: THE FORENSIC SCIENTISTS, 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	MD295136	LA

General Provider Information

NPI Number	:	1730544701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FORENSIC SCIENTISTS, LLC

Provider Business Mailing Address
First Line	:	4059 BREAKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4035
Country	:	US
Telephone Number	:	713-254-5607
Fax Number	:

Provider Business Practice Location Address
First Line	:	4059 BREAKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4035
Country	:	US
Telephone Number	:	713-254-5607
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DOUGLAS HARRIS POSEY II
Credential	:	M.D.
Telephone Number	:	713-254-5607

Provider Enumeration Date	:	12/17/2015
Last Update Date	:	12/17/2015

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Directions to “THE FORENSIC SCIENTISTS, LLC ” Practice Location

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