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NPI Code Detail

MEDICARE: HIGHTECH LAB LLC

MEDICARE: HIGHTECH LAB 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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1740149533
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHTECH LAB LLC
Provider Business Mailing Address
First Line : 900 BARBARA ANN DR STE A
Second Line :
City : HURST
State : TX
Zip : 76053-5039
Country : US
Telephone Number : 817-510-3020
Fax Number :
Provider Business Practice Location Address
First Line : 900 BARBARA ANN DR STE A
Second Line :
City : HURST
State : TX
Zip : 76053-5039
Country : US
Telephone Number : 817-510-3020
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RHEANNA ADRIA DAVIDSON
Credential :
Telephone Number : 817-510-3020
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “HIGHTECH LAB LLC ” Practice Location

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