Provider Demographics
NPI:1851016935
Name:TAUSTIN LABORATORIES
Entity Type:Organization
Organization Name:TAUSTIN LABORATORIES
Other - Org Name:STREAMLINE SCIENTIFIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-332-3160
Mailing Address - Street 1:PO BOX 815
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-0815
Mailing Address - Country:US
Mailing Address - Phone:855-319-4459
Mailing Address - Fax:877-796-6185
Practice Address - Street 1:13413 GALLERIA CIR # Q-140
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6344
Practice Address - Country:US
Practice Address - Phone:855-319-4459
Practice Address - Fax:877-796-6185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory