Provider Demographics
NPI:1598485971
Name:BEVEL-XLABORATORIESLLC
Entity Type:Organization
Organization Name:BEVEL-XLABORATORIESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHIMEZIE
Authorized Official - Middle Name:UCHENNA
Authorized Official - Last Name:ONONENYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-536-3306
Mailing Address - Street 1:9888 BISSONNET ST STE 470
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8290
Mailing Address - Country:US
Mailing Address - Phone:832-536-3306
Mailing Address - Fax:281-697-5280
Practice Address - Street 1:9888 BISSONNET ST STE 470
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8290
Practice Address - Country:US
Practice Address - Phone:832-536-3306
Practice Address - Fax:281-697-5280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical TechnologistGroup - Multi-Specialty
No293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX39021730OtherDL