MEDICARE: NANO SOLUTIONS LABORATORY 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	:	1134070212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANO SOLUTIONS LABORATORY LLC

Provider Business Mailing Address
First Line	:	13601 PRESTON RD STE 541W
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5348
Country	:	US
Telephone Number	:	469-267-0087
Fax Number	:

Provider Business Practice Location Address
First Line	:	13601 PRESTON RD STE 541W
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5348
Country	:	US
Telephone Number	:	469-267-0087
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AHMAD TINEH
Credential	:
Telephone Number	:	469-267-0087

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “NANO SOLUTIONS LABORATORY LLC ” Practice Location

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