MEDICARE: LAB CLOUD SOLUTIONS 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	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician
2	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1477353282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAB CLOUD SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	8110 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-3620
Country	:	US
Telephone Number	:	832-869-2921
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-3620
Country	:	US
Telephone Number	:	832-869-2921
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RANDY BROWN
Credential	:
Telephone Number	:	832-869-2921

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	11/12/2025

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Directions to “LAB CLOUD SOLUTIONS LLC ” Practice Location

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