Provider Demographics
NPI:1467066860
Name:PCLTX LLC
Entity Type:Organization
Organization Name:PCLTX LLC
Other - Org Name:PROVIDERS CHOICE LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:YEATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-374-0007
Mailing Address - Street 1:8300 CYPRESS CREEK PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5643
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8300 CYPRESS CREEK PKWY STE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5643
Practice Address - Country:US
Practice Address - Phone:346-374-0007
Practice Address - Fax:346-337-9911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory