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NPI Code Detail

MEDICARE: ECOCHECK LABORATORIES LLC

MEDICARE: ECOCHECK LABORATORIES 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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
145D2054331OTHERTXCLIA

General Provider Information

NPI Number : 1376885384
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECOCHECK LABORATORIES LLC
Provider Business Mailing Address
First Line : 2925 W T C JESTER BLVD STE 10
Second Line :
City : HOUSTON
State : TX
Zip : 77018-7050
Country : US
Telephone Number : 281-813-8640
Fax Number : 713-895-9940
Provider Business Practice Location Address
First Line : 2925 W T C JESTER BLVD STE 10
Second Line :
City : HOUSTON
State : TX
Zip : 77018-7050
Country : US
Telephone Number : 281-813-8640
Fax Number : 713-688-5201
Authorized Official
Title or Position : MANAGER
Name : FERNANDO JOSE ISART
Credential :
Telephone Number : 713-263-8582
Provider Enumeration Date : 03/18/2013
Last Update Date : 08/16/2022

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Directions to “ECOCHECK LABORATORIES LLC ” Practice Location

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