Provider Demographics
NPI:1255757035
Name:MOLECULAR HEALTH INC.
Entity type:Organization
Organization Name:MOLECULAR HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO, EVP
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:KERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-299-3000
Mailing Address - Street 1:2700 TECHNOLOGY FOREST BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3903
Mailing Address - Country:US
Mailing Address - Phone:832-299-3000
Mailing Address - Fax:
Practice Address - Street 1:2700 TECHNOLOGY FOREST BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3903
Practice Address - Country:US
Practice Address - Phone:832-299-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2073145291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory