Provider Demographics
NPI:1215217187
Name:IVAL,LLC DBA LABXPRESS
Entity Type:Organization
Organization Name:IVAL,LLC DBA LABXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:TINAJERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-212-7807
Mailing Address - Street 1:3708 W DAVIS ST
Mailing Address - Street 2:SUITE I
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-1865
Mailing Address - Country:US
Mailing Address - Phone:936-441-2021
Mailing Address - Fax:936-441-0737
Practice Address - Street 1:8124 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-2006
Practice Address - Country:US
Practice Address - Phone:713-647-0011
Practice Address - Fax:713-647-0099
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IVAL,LLC DBA LABXPRESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2026535291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory