Provider Demographics
NPI:1336758952
Name:LABTECH DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:LABTECH DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:LABTECH DIAGNOSTICS
Authorized Official - Middle Name:
Authorized Official - Last Name:LLC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-595-1124
Mailing Address - Street 1:12902 FLAGSHIP
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3473
Mailing Address - Country:US
Mailing Address - Phone:210-595-1124
Mailing Address - Fax:210-595-1123
Practice Address - Street 1:12902 FLAGSHIP
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3473
Practice Address - Country:US
Practice Address - Phone:617-838-9986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory