Provider Demographics
NPI:1821446550
Name:TDM LABORATORIES OF KATY, LLC
Entity Type:Organization
Organization Name:TDM LABORATORIES OF KATY, LLC
Other - Org Name:MESA HILLS SPECIALTY HOSPITAL OPERATOR, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-424-1353
Mailing Address - Street 1:5510 ABRAMS RD STE 119B
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2099
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5510 ABRAMS RD STE 119B
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2099
Practice Address - Country:US
Practice Address - Phone:469-424-1353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MESA HILLS SPECIALTY HOSPITAL OPERATO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-03
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory