Provider Demographics
NPI:1780730606
Name:SML LLC
Entity type:Organization
Organization Name:SML LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WILBUR
Authorized Official - Last Name:DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-659-0341
Mailing Address - Street 1:4200 TWELVE OAKS DR
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6812
Mailing Address - Country:US
Mailing Address - Phone:832-659-0341
Mailing Address - Fax:832-659-0381
Practice Address - Street 1:4200 TWELVE OAKS DR
Practice Address - Street 2:5TH FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6812
Practice Address - Country:US
Practice Address - Phone:832-659-0341
Practice Address - Fax:832-659-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
TX45D0706889291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0253874-01Medicaid
TX0253874-01Medicaid
TX0881765-02Medicaid
TX0253874-01Medicaid