Provider Demographics
NPI:1780939082
Name:KT VENTURES
Entity type:Organization
Organization Name:KT VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUKEMI
Authorized Official - Middle Name:I
Authorized Official - Last Name:OSUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-574-4506
Mailing Address - Street 1:15270 VOSS RD
Mailing Address - Street 2:SUITE 526
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4767
Mailing Address - Country:US
Mailing Address - Phone:832-574-4506
Mailing Address - Fax:
Practice Address - Street 1:15270 VOSS RD
Practice Address - Street 2:SUITE 526
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4767
Practice Address - Country:US
Practice Address - Phone:832-574-4506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory