Provider Demographics
NPI:1659002467
Name:LONE STAR MEDLAB LABORATORY LLC
Entity Type:Organization
Organization Name:LONE STAR MEDLAB LABORATORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:224-461-2405
Mailing Address - Street 1:2120 W SPRING CREEK PKWY STE A-2
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4187
Mailing Address - Country:US
Mailing Address - Phone:469-969-0345
Mailing Address - Fax:469-969-0346
Practice Address - Street 1:2120 W SPRING CREEK PKWY STE A-2
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4187
Practice Address - Country:US
Practice Address - Phone:469-969-0345
Practice Address - Fax:469-969-0346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory