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NPI Code Detail

MEDICARE: LABS ON THE ROLL

MEDICARE: LABS ON THE ROLL
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
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11073197620OTHERLAB DRAWS

General Provider Information

NPI Number : 1831842293
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABS ON THE ROLL
Provider Business Mailing Address
First Line : 440 LOUISIANA ST STE 900
Second Line :
City : HOUSTON
State : TX
Zip : 77002-1062
Country : US
Telephone Number : 713-922-8720
Fax Number :
Provider Business Practice Location Address
First Line : 440 LOUISIANA ST STE 900
Second Line :
City : HOUSTON
State : TX
Zip : 77002-1062
Country : US
Telephone Number : 713-922-8720
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHEMEKA WARD
Credential :
Telephone Number : 713-922-8720
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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Directions to “LABS ON THE ROLL ” Practice Location

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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.

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