Provider Demographics
NPI:1386197598
Name:COMPASS TOXICOLOGY LLC
Entity Type:Organization
Organization Name:COMPASS TOXICOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EBUH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-350-0244
Mailing Address - Street 1:3315 BURKE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1827
Mailing Address - Country:US
Mailing Address - Phone:832-350-0244
Mailing Address - Fax:713-513-5161
Practice Address - Street 1:3315 BURKE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1827
Practice Address - Country:US
Practice Address - Phone:832-350-0244
Practice Address - Fax:713-513-5161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2076033291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D2076033OtherCLIA