Provider Demographics
NPI:1942729207
Name:E3HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:E3HEALTH SOLUTIONS, LLC
Other - Org Name:ELABNETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CORAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-208-4194
Mailing Address - Street 1:602 STRADA CIR STE 116
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3201
Mailing Address - Country:US
Mailing Address - Phone:800-208-4194
Mailing Address - Fax:
Practice Address - Street 1:602 STRADA CIR STE 116
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3201
Practice Address - Country:US
Practice Address - Phone:800-208-4194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2134744291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D2134744OtherCMS - CLIA CERTIFICATE OF WAIVER