Provider Demographics
NPI:1871253070
Name:TERRA TESTING LABS INC.
Entity Type:Organization
Organization Name:TERRA TESTING LABS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:LIONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:956-393-8404
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:LEMING
Mailing Address - State:TX
Mailing Address - Zip Code:78050-0039
Mailing Address - Country:US
Mailing Address - Phone:956-393-8404
Mailing Address - Fax:
Practice Address - Street 1:5518 E CURVE RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-5897
Practice Address - Country:US
Practice Address - Phone:956-393-8404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare