Healthcare Provider Details

I. General information

NPI: 1255249553
Provider Name (Legal Business Name): PULSE MEDICAL LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E MAPLE ST
KEENE TX
76059-2300
US

IV. Provider business mailing address

1403 COURTNEY PL APT A
CLEBURNE TX
76033-7800
US

V. Phone/Fax

Practice location:
  • Phone: 682-319-8610
  • Fax:
Mailing address:
  • Phone: 682-319-8610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JOHN CHRISTIAN DAVIS
Title or Position: DIRECTOR
Credential:
Phone: 682-319-8610