MEDICARE: THE TRAVELING DUO LAB 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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1598627432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TRAVELING DUO LAB LLC

Provider Business Mailing Address
First Line	:	12712 W LAKE HOUSTON PKWY STE B4095
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:	281-590-5738
Fax Number	:

Provider Business Practice Location Address
First Line	:	12712 W LAKE HOUSTON PKWY STE B4095
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:	281-590-5738
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	JEANETTE BELTRAN
Credential	:
Telephone Number	:	281-590-5738

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/02/2025

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Directions to “THE TRAVELING DUO LAB LLC ” Practice Location

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