Provider Demographics
NPI:1851972335
Name:ONSITE LABORATORY SERVICES
Entity Type:Organization
Organization Name:ONSITE LABORATORY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-748-6583
Mailing Address - Street 1:515 WAFER ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506-2431
Mailing Address - Country:US
Mailing Address - Phone:832-748-6583
Mailing Address - Fax:713-979-9138
Practice Address - Street 1:515 WAFER ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-2431
Practice Address - Country:US
Practice Address - Phone:832-748-6583
Practice Address - Fax:713-979-9138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare