Provider Demographics
NPI:1417722398
Name:STRATEGIC CONCEPTS LAB LLC
Entity Type:Organization
Organization Name:STRATEGIC CONCEPTS LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/AO
Authorized Official - Prefix:
Authorized Official - First Name:HASHMAT
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-345-1680
Mailing Address - Street 1:930 W PARKER RD STE 530
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2384
Mailing Address - Country:US
Mailing Address - Phone:224-345-1680
Mailing Address - Fax:925-326-2842
Practice Address - Street 1:930 W PARKER RD STE 530
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2384
Practice Address - Country:US
Practice Address - Phone:224-345-1680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory