Provider Demographics
NPI:1639797863
Name:LAB TESTING NEAR ME LLC
Entity Type:Organization
Organization Name:LAB TESTING NEAR ME LLC
Other - Org Name:LAB TESTING NEAR ME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-894-9436
Mailing Address - Street 1:2706 WIND POINT CT
Mailing Address - Street 2:
Mailing Address - City:TOLAR
Mailing Address - State:TX
Mailing Address - Zip Code:76476-5077
Mailing Address - Country:US
Mailing Address - Phone:817-894-9436
Mailing Address - Fax:
Practice Address - Street 1:2706 WIND POINT CT
Practice Address - Street 2:
Practice Address - City:TOLAR
Practice Address - State:TX
Practice Address - Zip Code:76476-5077
Practice Address - Country:US
Practice Address - Phone:817-894-9436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EHC CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-14
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No293D00000XLaboratoriesPhysiological Laboratory