Healthcare Provider Details

I. General information

NPI: 1306036702
Provider Name (Legal Business Name): SBM DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 DRYDEN RD # 226
HOUSTON TX
77030-2402
US

IV. Provider business mailing address

1720 DRYDEN RD # 226
HOUSTON TX
77030-2402
US

V. Phone/Fax

Practice location:
  • Phone: 800-420-1481
  • Fax:
Mailing address:
  • Phone: 800-420-1481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM DRAGOO
Title or Position: PRESIDENT
Credential:
Phone: 800-420-1481