Provider Demographics
NPI:1386510014
Name:NIKRED CARE SERVICES LLC
Entity type:Organization
Organization Name:NIKRED CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIKITHA REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOWRARAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-240-0485
Mailing Address - Street 1:2909 HILLCROFT AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5820
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2909 HILLCROFT AVE STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5820
Practice Address - Country:US
Practice Address - Phone:346-240-0485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory