Healthcare Provider Details

I. General information

NPI: 1699430611
Provider Name (Legal Business Name): SNAPPY LAB SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 04/19/2022
Certification Date: 04/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 POTEET DR APT 935
MESQUITE TX
75150-7664
US

IV. Provider business mailing address

3708 POTEET DR APT 935
MESQUITE TX
75150-7664
US

V. Phone/Fax

Practice location:
  • Phone: 214-994-7069
  • Fax:
Mailing address:
  • Phone: 214-994-7069
  • 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: ALIYAH MADDEN
Title or Position: OWNER
Credential:
Phone: 214-994-7069