Provider Demographics
NPI:1568788388
Name:EXPERTOX INC.
Entity Type:Organization
Organization Name:EXPERTOX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KI
Authorized Official - Middle Name:EUN
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-673-9070
Mailing Address - Street 1:1430 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-3582
Mailing Address - Country:US
Mailing Address - Phone:281-476-4600
Mailing Address - Fax:281-930-8532
Practice Address - Street 1:1430 CENTER ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-3582
Practice Address - Country:US
Practice Address - Phone:281-476-4600
Practice Address - Fax:281-930-8532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D0981447291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory