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NPI Code Detail

MEDICARE: MEDLABS EXPRESS,INC

MEDICARE: MEDLABS EXPRESS,INC
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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861011447
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDLABS EXPRESS,INC
Provider Business Mailing Address
First Line : 2208A BONAVENTURE CT
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3374
Country : US
Telephone Number : 318-447-4758
Fax Number : 318-230-7073
Provider Business Practice Location Address
First Line : 2208A BONAVENTURE CT
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3374
Country : US
Telephone Number : 318-447-4758
Fax Number : 318-230-7073
Authorized Official
Title or Position : CEO
Name : AHMAD MOHAMMED GHREER
Credential :
Telephone Number : 318-447-4758
Provider Enumeration Date : 04/13/2020
Last Update Date : 04/13/2020

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Directions to “MEDLABS EXPRESS,INC ” Practice Location

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