Provider Demographics
NPI:1083295042
Name:BLACK CAT TOXICOLOGY LLC
Entity Type:Organization
Organization Name:BLACK CAT TOXICOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARLA
Authorized Official - Middle Name:C
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-397-3366
Mailing Address - Street 1:333 WEST LOOP N STE 225
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7767
Mailing Address - Country:US
Mailing Address - Phone:346-397-3366
Mailing Address - Fax:
Practice Address - Street 1:333 WEST LOOP N STE 225
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-7767
Practice Address - Country:US
Practice Address - Phone:346-397-3366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory