LBJ LABORATORY SUPPORT SERVICES CORP. – NPI #1316196074
Technician, Pathology

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LBJ LABORATORY SUPPORT SERVICES CORP. is a pathology technician located in HOUSTON, TX. NPPES has assigned the NPI number 1316196074 to LBJ LABORATORY SUPPORT SERVICES CORP. on September 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LBJ LABORATORY SUPPORT SERVICES CORP. below.

NPI Profile for
LBJ LABORATORY SUPPORT SERVICES CORP.

NPI Number

1316196074

Enumeration Date

Sep 17, 2008
(more than 17 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

LBJ LABORATORY SUPPORT SERVICES CORP.

Primary location

2626 SOUTH LOOP WEST SUITE 240
HOUSTON, TX 77054

Phone: (713) 592-0343 Fax: (713) 592-0357

Mailing address

Same as primary location

Organization Subpart

Authorized Official

ROSA MONTELONGO
CEO
Phone: (713) 303-9415

Updated

Sep 17, 2008

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
246RP1900X - Technician, Pathology / Phlebotomy (Primary)	DC	20.0075R05
291U00000X - Clinical Medical Laboratory
163W00000X - Registered Nurse	TX	649296

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.