Provider Demographics
NPI:1518671783
Name:LABORATORY SOLUTIONS AND SERVICES, LLC
Entity Type:Organization
Organization Name:LABORATORY SOLUTIONS AND SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:YSA-RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MLT
Authorized Official - Phone:512-922-2329
Mailing Address - Street 1:301 GAYLE ST
Mailing Address - Street 2:
Mailing Address - City:GANADO
Mailing Address - State:TX
Mailing Address - Zip Code:77962-8708
Mailing Address - Country:US
Mailing Address - Phone:512-922-2329
Mailing Address - Fax:
Practice Address - Street 1:104 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EDNA
Practice Address - State:TX
Practice Address - Zip Code:77957-2827
Practice Address - Country:US
Practice Address - Phone:512-922-2329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX03951440OtherASCP