Healthcare Provider Details

I. General information

NPI: 1699690792
Provider Name (Legal Business Name): CRYSTAL LAB & SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 NEWBRIDGE RD
HICKSVILLE NY
11801-3932
US

IV. Provider business mailing address

1001 S MAIN ST STE 500
KALISPELL MT
59901-1498
US

V. Phone/Fax

Practice location:
  • Phone: 713-912-0654
  • Fax: 608-707-0009
Mailing address:
  • Phone: 713-912-0654
  • Fax: 608-707-0009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: GURPREET SINGH
Title or Position: MANAGING MEMBER
Credential:
Phone: 516-557-3290