MEDICARE: MEDICAL HEALTH LAB INC

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	CLIA # 45D0677467	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CLIA 45D0677467	OTHER	TX	INDEPENDENT LAB

General Provider Information

NPI Number	:	1104839380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL HEALTH LAB INC

Provider Business Mailing Address
First Line	:	145 PROMENADE WAY STE 4
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7225
Country	:	US
Telephone Number	:	314-737-1914
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 PROMENADE WAY STE 4
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7225
Country	:	US
Telephone Number	:	314-737-1914
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SYED RIZVI
Credential	:
Telephone Number	:	314-737-1914

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	11/26/2025

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Directions to “MEDICAL HEALTH LAB INC ” Practice Location

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