Provider Demographics
NPI:1649401878
Name:OPUS LABORATORY AND DIAGNOSTIC
Entity Type:Organization
Organization Name:OPUS LABORATORY AND DIAGNOSTIC
Other - Org Name:DIAGNOSTIC ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:BUSBY
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-550-3029
Mailing Address - Street 1:7941 KATY FWY
Mailing Address - Street 2:277
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1924
Mailing Address - Country:US
Mailing Address - Phone:713-224-4674
Mailing Address - Fax:832-201-7055
Practice Address - Street 1:7807 LONG POINT RD
Practice Address - Street 2:430
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3679
Practice Address - Country:US
Practice Address - Phone:713-224-4674
Practice Address - Fax:832-201-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty