Provider Demographics
NPI:1790540466
Name:RESCUEMD LABS
Entity Type:Organization
Organization Name:RESCUEMD LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUBUKOLA
Authorized Official - Middle Name:ADUKE
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-390-7667
Mailing Address - Street 1:945 STOCKTON DR UNIT 6100
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6158
Mailing Address - Country:US
Mailing Address - Phone:972-390-7667
Mailing Address - Fax:972-390-1557
Practice Address - Street 1:945 STOCKTON DR UNIT 6100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6158
Practice Address - Country:US
Practice Address - Phone:972-390-7667
Practice Address - Fax:972-390-1557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESCUEMD PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory