Provider Demographics
NPI:1003522103
Name:TREASURED HANDS LAB
Entity Type:Organization
Organization Name:TREASURED HANDS LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN-RUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:682-206-6627
Mailing Address - Street 1:2007 LAKE TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8275
Mailing Address - Country:US
Mailing Address - Phone:817-262-8200
Mailing Address - Fax:
Practice Address - Street 1:3213 INTERSTATE 30 STE 202
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2603
Practice Address - Country:US
Practice Address - Phone:682-206-6627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Single Specialty