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NPI Code Detail

MEDICARE: LONE STAR CLINICAL LABS LLC

MEDICARE: LONE STAR CLINICAL 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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1356287759
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONE STAR CLINICAL LABS LLC
Provider Business Mailing Address
First Line : 13105 NORTHWEST FWY STE 113
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6342
Country : US
Telephone Number : 512-905-8982
Fax Number :
Provider Business Practice Location Address
First Line : 13105 NORTHWEST FWY STE 113
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6342
Country : US
Telephone Number : 512-905-8982
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : FNU MOHAMMED HAMZA AHMED
Credential :
Telephone Number : 512-905-8982
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “LONE STAR CLINICAL LABS LLC ” Practice Location

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