Provider Demographics
NPI:1538682323
Name:HARRIS COUNTY LABORATORIES, LLC
Entity Type:Organization
Organization Name:HARRIS COUNTY LABORATORIES, LLC
Other - Org Name:HIGH COMPLEXITY LABORATORIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GORAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JANDJEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-866-8010
Mailing Address - Street 1:11941 CUTTEN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3001
Mailing Address - Country:US
Mailing Address - Phone:832-969-6767
Mailing Address - Fax:
Practice Address - Street 1:11941 CUTTEN RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-3001
Practice Address - Country:US
Practice Address - Phone:832-969-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2133147291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory