MEDICARE: S&S LABS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1003227646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&S LABS LLC

Provider Business Mailing Address
First Line	:	PO BOX 814686
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75381-4686
Country	:	US
Telephone Number	:	972-665-9930
Fax Number	:

Provider Business Practice Location Address
First Line	:	1903 CENTRAL DR STE 220
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-5876
Country	:	US
Telephone Number	:	817-786-8991
Fax Number	:	214-261-5155

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	RONNA BROOKS
Credential	:
Telephone Number	:	972-665-9930

Provider Enumeration Date	:	05/16/2014
Last Update Date	:	07/21/2022

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Directions to “S&S LABS LLC ” Practice Location

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