MEDICARE: HELENABIO 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1619831872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELENABIO LAB LLC

Provider Business Mailing Address
First Line	:	8121 BROADWAY ST STE 111
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-1341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8121 BROADWAY ST STE 111
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-1341
Country	:	US
Telephone Number	:	945-800-8737
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHELTON MARCUS LOWAYNE HILLIARD
Credential	:
Telephone Number	:	945-800-8737

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

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Directions to “HELENABIO LAB LLC ” Practice Location

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