Healthcare Provider Details

I. General information

NPI: 1447835210
Provider Name (Legal Business Name): VSI LABORATORIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2021
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13831 NORTHWEST FWY STE 435
HOUSTON TX
77040-5243
US

IV. Provider business mailing address

13831 NORTHWEST FWY STE 435
HOUSTON TX
77040-5243
US

V. Phone/Fax

Practice location:
  • Phone: 800-538-3538
  • Fax: 713-575-3874
Mailing address:
  • Phone: 800-538-3538
  • Fax: 713-575-3874

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: AMANDA DEAVER
Title or Position: OWNER
Credential:
Phone: 800-538-3538