Healthcare Provider Details

I. General information

NPI: 1003771437
Provider Name (Legal Business Name): ALPHA LAB SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 SAN FELIPE ST STE 500
HOUSTON TX
77057-8003
US

IV. Provider business mailing address

5850 SAN FELIPE ST STE 500
HOUSTON TX
77057-8003
US

V. Phone/Fax

Practice location:
  • Phone: 832-941-0244
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BALAJI GAJULA
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 832-917-4753