Provider Demographics
NPI:1801513338
Name:WEST STAR LABS LLC
Entity type:Organization
Organization Name:WEST STAR LABS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-929-7822
Mailing Address - Street 1:4321 N MESA ST STE C
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1139
Mailing Address - Country:US
Mailing Address - Phone:915-412-5460
Mailing Address - Fax:
Practice Address - Street 1:4321 N MESA ST STE C
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1139
Practice Address - Country:US
Practice Address - Phone:915-412-5460
Practice Address - Fax:915-257-6293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory