Provider Demographics
NPI:1326699943
Name:NHFM LABORATORY HOLDINGS LLC
Entity Type:Organization
Organization Name:NHFM LABORATORY HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOPARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:618-581-7531
Mailing Address - Street 1:25312 INTERSTATE 45 N STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1449
Mailing Address - Country:US
Mailing Address - Phone:281-206-7869
Mailing Address - Fax:281-206-7870
Practice Address - Street 1:25510 INTERSTATE 45 N STE 102
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1376
Practice Address - Country:US
Practice Address - Phone:281-206-7869
Practice Address - Fax:281-206-7870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory