Provider Demographics
NPI:1629578166
Name:SCIENTIFIC MARKETING INSTRUMENTATION AND LABORATORY INC.
Entity Type:Organization
Organization Name:SCIENTIFIC MARKETING INSTRUMENTATION AND LABORATORY INC.
Other - Org Name:PREMIER GLOBAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:WEXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-450-6468
Mailing Address - Street 1:26797 HANNA RD BLDG 4
Mailing Address - Street 2:STE 7D
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-6630
Mailing Address - Country:US
Mailing Address - Phone:832-813-5880
Mailing Address - Fax:210-549-2837
Practice Address - Street 1:26797 HANNA RD BLDG 4
Practice Address - Street 2:STE 7D
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-6630
Practice Address - Country:US
Practice Address - Phone:832-813-5880
Practice Address - Fax:210-549-2837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2104193291U00000X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory