Healthcare Provider Details

I. General information

NPI: 1255624367
Provider Name (Legal Business Name): SOFT TOUCH MOBILE LAB SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2011
Last Update Date: 06/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11844 BANDERA ROAD #240
HELOTES TX
78023-4453
US

IV. Provider business mailing address

11844 BANDERA RD # 240
HELOTES TX
78023-4132
US

V. Phone/Fax

Practice location:
  • Phone: 210-846-5976
  • Fax:
Mailing address:
  • Phone: 210-846-5976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARLA MEDLEY
Title or Position: PRES/CEO
Credential:
Phone: 210-846-5976