Provider Demographics
NPI:1497153787
Name:GALAXY LABORATORIES LLC
Entity Type:Organization
Organization Name:GALAXY LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUBBARAO
Authorized Official - Middle Name:V
Authorized Official - Last Name:KALA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-748-8639
Mailing Address - Street 1:2809 MILLER RANCH RD
Mailing Address - Street 2:SUITE 425
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9725
Mailing Address - Country:US
Mailing Address - Phone:832-243-1224
Mailing Address - Fax:
Practice Address - Street 1:2809 MILLER RANCH RD
Practice Address - Street 2:SUITE 425
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9725
Practice Address - Country:US
Practice Address - Phone:832-243-1224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory