Provider Demographics
NPI:1225489719
Name:INFINITE TESTING LABS LLC
Entity Type:Organization
Organization Name:INFINITE TESTING LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:USMAN
Authorized Official - Last Name:AIJAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-605-3284
Mailing Address - Street 1:16753 DONWICK DR
Mailing Address - Street 2:A6
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-3674
Mailing Address - Country:US
Mailing Address - Phone:936-445-0556
Mailing Address - Fax:
Practice Address - Street 1:16753 DONWICK DR
Practice Address - Street 2:A6
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-3674
Practice Address - Country:US
Practice Address - Phone:936-445-0556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-26
Last Update Date:2016-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
45D2111093OtherCLIA