Provider Demographics
NPI:1558085936
Name:ZERENTA INC
Entity Type:Organization
Organization Name:ZERENTA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SUDHAKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KANCHARLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-916-5091
Mailing Address - Street 1:6600 PAIGE RD
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-1841
Mailing Address - Country:US
Mailing Address - Phone:469-916-5091
Mailing Address - Fax:469-547-6659
Practice Address - Street 1:6600 PAIGE RD
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-1841
Practice Address - Country:US
Practice Address - Phone:469-916-5091
Practice Address - Fax:469-547-6659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory