MEDICARE: WHITE COAT MEDICAL LABORATORIES LIMITED LIABILITY COMPANY

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	:	1699617241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE COAT MEDICAL LABORATORIES LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	1880 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-4760
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-4760
Country	:	US
Telephone Number	:	980-277-1579
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	J DOUGLAS
Credential	:
Telephone Number	:	980-277-1579

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

Similar Medicare Providers

1831843093 — JE'NAY MARIE DAILEY LPC
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 630-26
HOUSTON, TX
77077-4760

Practice Phone: 510-734-9771
Practice Fax:

1780703322 — DR. DENNIS S GREENE DDS
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 207-413
HOUSTON, TX
77077-4760

Practice Phone: 713-347-6833
Practice Fax: 713-347-9844

1891023024 — RV HEALTHCARE SERVICES
Practice Location Address:

1880 S DAIRY ASHFORD ST , 106
HOUSTON, TX
77077-4760

Practice Phone: 832-228-0291
Practice Fax: 866-473-0395

1801340542 — PRAETORIAN RX LLC
Practice Location Address:

1880 S DAIRY ASHFORD RD , SUITE 106
HOUSTON, TX
77077-4760

Practice Phone: 813-279-2729
Practice Fax: 813-279-2728

1366970394 — LASONJA MALONE CCMA
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 207-439
HOUSTON, TX
77077-4760

Practice Phone: 877-768-4897
Practice Fax: 877-768-4897

1710408448 — ULTIMATE WELLNESS PROVIDERS CO
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 207-439
HOUSTON, TX
77077-4760

Practice Phone: 877-768-4897
Practice Fax:

Directions to “WHITE COAT MEDICAL LABORATORIES LIMITED LIABILITY COMPANY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.