Provider Demographics
NPI:1316182322
Name:SYNSON, INC.
Entity Type:Organization
Organization Name:SYNSON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BEVERS
Authorized Official - Suffix:
Authorized Official - Credentials:RNCST
Authorized Official - Phone:817-821-7167
Mailing Address - Street 1:5721 E FM 4
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:76050-3006
Mailing Address - Country:US
Mailing Address - Phone:817-821-7167
Mailing Address - Fax:
Practice Address - Street 1:5721 E FM 4
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:TX
Practice Address - Zip Code:76050-3006
Practice Address - Country:US
Practice Address - Phone:817-821-7167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory