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Sam Houston State University

Clinical Medical Laboratory in Huntsville, TX. Organization (NPI-2).

NPI number1215519368
StatusActive
Last updated in NPPESApr 27, 2021

Details

NPI
1215519368
Entity type
Organization (NPI-2)
Legal business name
Sam Houston State University
Organization subpart
Yes
Enumeration date
Apr 27, 2021
Certification date
Apr 27, 2021
Last updated
Apr 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Other names

  • Diagnostic Laboratory For Human Health (Other Name)

Practice location

2424 Sam Houston Ave Suite B8
Huntsville, TX 77341-0001

Phone 936-294-3788

Mailing address

2424 Sam Houston Ave Suite B8
Huntsville, TX 77341-0001

Phone 936-294-3788

Authorized official

Kathryn Christofferson
Director Of Clinic Operations
9365253600

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