Provider Demographics
NPI:1598523540
Name:G MEDICS DX LLC
Entity Type:Organization
Organization Name:G MEDICS DX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABAYOMI
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:TAIWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-931-1000
Mailing Address - Street 1:9800 CENTRE PKWY STE 265
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8468
Mailing Address - Country:US
Mailing Address - Phone:210-888-6632
Mailing Address - Fax:281-888-1612
Practice Address - Street 1:9800 CENTRE PKWY STE 265
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8468
Practice Address - Country:US
Practice Address - Phone:210-888-6632
Practice Address - Fax:281-888-1612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine