Boulder Gx
Clinical Medical Laboratory in Spring, TX. Organization (NPI-2).
NPI number1447911409
StatusActive
Last updated in NPPESMar 15, 2023
Details
- NPI
- 1447911409
- Entity type
- Organization (NPI-2)
- Legal business name
- Boulder Gx
- Organization subpart
- No
- Enumeration date
- Jan 3, 2022
- Certification date
- Mar 15, 2023
- Last updated
- Mar 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Total Lab Solutions (Doing Business As)
Practice location
25003 Pitkin Rd Ste F300Spring, TX 77386-1523
Phone 866-648-1117
Mailing address
25003 Pitkin Rd Ste F300Spring, TX 77386-1523
Phone 866-648-1117
Authorized official
Scott Zack
Owner
2482258417
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