Provider Demographics
NPI:1740820927
Name:LABTEST LLC
Entity type:Organization
Organization Name:LABTEST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-522-8378
Mailing Address - Street 1:5000 CEDAR PLAZA PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3857
Mailing Address - Country:US
Mailing Address - Phone:314-522-8378
Mailing Address - Fax:314-571-7834
Practice Address - Street 1:8150 SOUTHWEST FWY STE V1L
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1719
Practice Address - Country:US
Practice Address - Phone:346-320-2105
Practice Address - Fax:346-802-2110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LABTEST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-15
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory