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NPI Code Detail

MEDICARE: WEST STAR LABS LLC

MEDICARE: WEST STAR LABS 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 : 1801513338
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST STAR LABS LLC
Provider Business Mailing Address
First Line : 4321 N MESA ST STE C
Second Line :
City : EL PASO
State : TX
Zip : 79902-1139
Country : US
Telephone Number : 915-412-5460
Fax Number :
Provider Business Practice Location Address
First Line : 4321 N MESA ST STE C
Second Line :
City : EL PASO
State : TX
Zip : 79902-1139
Country : US
Telephone Number : 915-412-5460
Fax Number : 915-257-6293
Authorized Official
Title or Position : OWNER
Name : MR. CARLOS RAMOS
Credential :
Telephone Number : 915-929-7822
Provider Enumeration Date : 10/25/2022
Last Update Date : 12/12/2022

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Directions to “WEST STAR LABS LLC ” Practice Location

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