Lab Source Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB SOURCE SERVICES

Practice address

324 FM 1960 Rd Ste 101a
Houston, TX 77073-1887

Phone

(713) 265-1752

NPI assigned

Apr 16, 2015

Last updated

Apr 16, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latronica Fisher

Title

Manager

Phone

(713) 265-1752

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1265829204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 FM 1960 RD STE 101A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731887",
            "telephone_number": "713-265-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 FM 1960 RD STE 101A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731887",
            "telephone_number": "713-265-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB SOURCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LATRONICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-265-1752"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.