Provider Demographics
NPI:1184209827
Name:OUR HOME TEST LLC
Entity Type:Organization
Organization Name:OUR HOME TEST LLC
Other - Org Name:AT YOUR DOOR LABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ANWAR
Authorized Official - Last Name:KAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-417-8937
Mailing Address - Street 1:3600 MATLOCK RD STE 204
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3679
Mailing Address - Country:US
Mailing Address - Phone:855-203-3786
Mailing Address - Fax:
Practice Address - Street 1:3600 MATLOCK RD STE 204
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3679
Practice Address - Country:US
Practice Address - Phone:855-203-3786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory