MEDICARE: ARROWPOINT CLINICAL 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	:	1710578208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROWPOINT CLINICAL LAB LLC

Provider Business Mailing Address
First Line	:	4106 TIDEWATER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4338
Country	:	US
Telephone Number	:	713-517-1875
Fax Number	:

Provider Business Practice Location Address
First Line	:	4106 TIDEWATER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4338
Country	:	US
Telephone Number	:	713-517-1875
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN D SADLER JR.
Credential	:
Telephone Number	:	713-517-1875

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	01/28/2021

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