Provider Demographics
NPI:1720866718
Name:UNIFIED SPECIMEN LAB AND COURIER SOLUTIONS
Entity Type:Organization
Organization Name:UNIFIED SPECIMEN LAB AND COURIER SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FARRIS-BOSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:171-379-4622
Mailing Address - Street 1:27393 DOVERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HUFFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:77336-3704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13531 WILL CLAYTON PKWY STE 300
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4850
Practice Address - Country:US
Practice Address - Phone:713-794-6221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory