MEDICARE: XPRESS CLINICAL LABORATORY LP

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		TX

General Provider Information

NPI Number	:	1972598373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPRESS CLINICAL LABORATORY LP

Provider Business Mailing Address
First Line	:	509 W TIDWELL RD
Second Line	:	SUITE 250
City	:	HOUSTON
State	:	TX
Zip	:	77091-4352
Country	:	US
Telephone Number	:	713-692-8999
Fax Number	:	713-692-8909

Provider Business Practice Location Address
First Line	:	509 W TIDWELL RD
Second Line	:	SUITE 250
City	:	HOUSTON
State	:	TX
Zip	:	77091-4352
Country	:	US
Telephone Number	:	713-692-8999
Fax Number	:	713-692-8909

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD W DRUMMOND
Credential	:	PHD
Telephone Number	:	713-692-8999

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	08/22/2020

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