Provider Demographics
NPI:1467869750
Name:LONE STAR TOX SCREEN
Entity Type:Organization
Organization Name:LONE STAR TOX SCREEN
Other - Org Name:LONE STAR CLINICAL LABORATORIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGULATORY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SADIQ
Authorized Official - Middle Name:I
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-618-9107
Mailing Address - Street 1:801 ROAD TO SIX FLAGS W STE 117
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2615
Mailing Address - Country:US
Mailing Address - Phone:888-618-9107
Mailing Address - Fax:214-677-0532
Practice Address - Street 1:801 ROAD TO SIX FLAGS
Practice Address - Street 2:SUITE 117
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012
Practice Address - Country:US
Practice Address - Phone:888-618-9107
Practice Address - Fax:214-677-0532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory