Lab-Vantage, INC
Clinical Medical Laboratory in Corpus Christi, TX. Organization (NPI-2).
NPI number1477501435
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477501435
- Entity type
- Organization (NPI-2)
- Legal business name
- Lab-Vantage, INC
- Organization subpart
- No
- Enumeration date
- May 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 45D0995752 | TX | Yes |
Other names
- Lab Vantage (Other Name)
Practice location
510 Gordon StCorpus Christi, TX 78404-2514
Phone 361-808-9900 · Fax 361-808-9911
Mailing address
510 Gordon StCorpus Christi, TX 78404-2514
Phone 361-808-9900 · Fax 361-808-9911
Authorized official
Lori Ann Keng
Cfo
3618089900
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