Provider Demographics
NPI:1871248617
Name:ZIMO CARE INC
Entity Type:Organization
Organization Name:ZIMO CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UGOCHI
Authorized Official - Middle Name:C
Authorized Official - Last Name:EZEKIEL-YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:347-994-6563
Mailing Address - Street 1:1114 AMERICANA DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3173
Mailing Address - Country:US
Mailing Address - Phone:347-994-6563
Mailing Address - Fax:
Practice Address - Street 1:1114 AMERICANA DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3173
Practice Address - Country:US
Practice Address - Phone:347-994-6563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZIMO CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-21
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory