MEDICARE: LABTEST 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	:	1740820927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABTEST LLC

Provider Business Mailing Address
First Line	:	5000 CEDAR PLAZA PKWY STE 200
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-3857
Country	:	US
Telephone Number	:	314-522-8378
Fax Number	:	314-571-7834

Provider Business Practice Location Address
First Line	:	8150 SOUTHWEST FWY STE V1L
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1719
Country	:	US
Telephone Number	:	346-320-2105
Fax Number	:	346-802-2110

Authorized Official
Title or Position	:	CEO
Name	:	SYED T HAIDER
Credential	:
Telephone Number	:	314-522-8378

Provider Enumeration Date	:	01/15/2020
Last Update Date	:	04/19/2022

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Directions to “LABTEST LLC ” Practice Location

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