Provider Demographics
NPI:1881850642
Name:EXPRESS BIOMEDICAL LAB LLC
Entity Type:Organization
Organization Name:EXPRESS BIOMEDICAL LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVANGELINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-776-3266
Mailing Address - Street 1:13921 OLD CHOCOLATE BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-5504
Mailing Address - Country:US
Mailing Address - Phone:713-776-3266
Mailing Address - Fax:713-609-9185
Practice Address - Street 1:13921 OLD CHOCOLATE BAYOU RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-5504
Practice Address - Country:US
Practice Address - Phone:713-776-3266
Practice Address - Fax:713-609-9185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D0675026291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory