LBJ Laboratory Support Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

246RP1900X Issued in TX

Legal business name

LBJ LABORATORY SUPPORT SERVICES, LLC

Practice address

2626 S Loop W
Suite 248
Houston, TX 77054-2654

Phone

(713) 592-0343

Fax

(713) 592-0357

NPI assigned

Sep 1, 2009

Last updated

May 2, 2014By 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

Mrs. Valerie Michelle Jackson

Title

Owner

Phone

(713) 592-0343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1326271859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W",
            "address_2": "SUITE 248",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542654",
            "telephone_number": "713-592-0343",
            "fax_number": "713-592-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W",
            "address_2": "SUITE 248",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542654",
            "telephone_number": "713-592-0343",
            "fax_number": "713-592-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBJ LABORATORY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-592-0343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "246RP1900X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Joseph Lazo, CRNA
• Marisela Gomez Lazo
• Sharon Lazorwitz, IBCLC
• Marita F. Lazzaro, RN, ANP, WHNP
• LBJ Laboratory Support Services Corp.
• LBJ Transportation & Courier Services
• LBJ Transportation&Courier Services
• LC Medical
• LC Respiratory Equipment (Lonnie Hebert)
• LCS Surgical Affiliates

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.