MEDICARE: ALVAND CLINICAL 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	:	1366314411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALVAND CLINICAL LABORATORY LLC

Provider Business Mailing Address
First Line	:	3100 S GESSNER RD STE 335
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3796
Country	:	US
Telephone Number	:	312-918-8675
Fax Number	:	346-826-7889

Provider Business Practice Location Address
First Line	:	3100 S GESSNER RD STE 335
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3796
Country	:	US
Telephone Number	:	312-918-8675
Fax Number	:	346-826-7889

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMMED SALMAN ALI
Credential	:
Telephone Number	:	312-918-8675

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	02/03/2026

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