Provider Demographics
NPI:1568877124
Name:BEST LAB SERVICE PLUS INC
Entity Type:Organization
Organization Name:BEST LAB SERVICE PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:MORISETTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-777-4669
Mailing Address - Street 1:1300 W WALNUT HILL LN
Mailing Address - Street 2:#158
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3000
Mailing Address - Country:US
Mailing Address - Phone:469-777-4669
Mailing Address - Fax:467-777-4529
Practice Address - Street 1:1300 W WALNUT HILL LN
Practice Address - Street 2:#158
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3000
Practice Address - Country:US
Practice Address - Phone:469-777-4669
Practice Address - Fax:467-777-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2076856291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D2076856OtherCLIA