Provider Demographics
NPI:1346644929
Name:PIONEER LAB HOUSTON, LP
Entity Type:Organization
Organization Name:PIONEER LAB HOUSTON, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOURABH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDUJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-340-8080
Mailing Address - Street 1:9130 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6376
Mailing Address - Country:US
Mailing Address - Phone:346-340-8080
Mailing Address - Fax:346-355-6788
Practice Address - Street 1:9130 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6376
Practice Address - Country:US
Practice Address - Phone:346-340-8080
Practice Address - Fax:346-355-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory