Healthcare Provider Details
I. General information
NPI: 1972598373
Provider Name (Legal Business Name): XPRESS CLINICAL LABORATORY LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
509 W TIDWELL RD SUITE 250
HOUSTON TX
77091-4352
US
IV. Provider business mailing address
509 W TIDWELL RD SUITE 250
HOUSTON TX
77091-4352
US
V. Phone/Fax
- Phone: 713-692-8999
- Fax: 713-692-8909
- Phone: 713-692-8999
- Fax: 713-692-8909
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
RICHARD
W
DRUMMOND
Title or Position: PRESIDENT
Credential: PHD
Phone: 713-692-8999