Provider Demographics
NPI:1366820870
Name:ELITE MEDICAL LABORATORY SOLUTIONS LLC
Entity Type:Organization
Organization Name:ELITE MEDICAL LABORATORY SOLUTIONS LLC
Other - Org Name:DIAX LABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALSAAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-592-1337
Mailing Address - Street 1:1101 ALMA ST
Mailing Address - Street 2:HUNTERWOOD MEDICAL BUILDING, SUITE 100
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4554
Mailing Address - Country:US
Mailing Address - Phone:844-867-8134
Mailing Address - Fax:
Practice Address - Street 1:1101 ALMA ST
Practice Address - Street 2:HUNTERWOOD MEDICAL BUILDING, SUITE 100
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4554
Practice Address - Country:US
Practice Address - Phone:646-592-1337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PENTA STATE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-16
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291U0000X291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory