Provider Demographics
NPI:1821333899
Name:ONELABNOW, LLC
Entity Type:Organization
Organization Name:ONELABNOW, LLC
Other - Org Name:ONELABNOW
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-673-4139
Mailing Address - Street 1:87 IH 10 N
Mailing Address - Street 2:SUITE 225
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-2544
Mailing Address - Country:US
Mailing Address - Phone:409-833-5700
Mailing Address - Fax:409-617-0142
Practice Address - Street 1:87 IH 10 NORTH
Practice Address - Street 2:STE 225
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707
Practice Address - Country:US
Practice Address - Phone:409-833-5700
Practice Address - Fax:409-617-0142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D1030081291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory