Provider Demographics
NPI:1912360009
Name:WOODHILLS LABS INC
Entity Type:Organization
Organization Name:WOODHILLS LABS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:BASHARAT
Authorized Official - Middle Name:A
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-750-2784
Mailing Address - Street 1:7589 PRESTON RD
Mailing Address - Street 2:STE 700
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5667
Mailing Address - Country:US
Mailing Address - Phone:469-579-4620
Mailing Address - Fax:469-579-4619
Practice Address - Street 1:7589 PRESTON RD
Practice Address - Street 2:STE 700
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5667
Practice Address - Country:US
Practice Address - Phone:469-579-4620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D2110928OtherCLIA ID