American Esoteric Laboratories

LBN: American Esoteric Laboratories
American Esoteric Laboratories is an health care organization with primary practice located at 6221 Riverside Dr Suite 119, Irving TX 75039-3528. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. American Esoteric Laboratories can be contacted via phone (972) 910-9119, or through Jones, Bryan via phone (972) 910-9119.

Contact Information

Primary practice address
6221 Riverside Dr Suite 119 Irving TX 75039-3528
Phone: (972) 910-9119
Fax: (214) 239-2650
Website:
Map and Directions
Authorized official contact:
Name: Jones, Bryan
Phone: (972) 910-9119

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Texas

Profile Details

NPI number 1255432563
LBN Legal business name American Esoteric Laboratories
DBA Doing business as
Authorized official Jones, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255432563 NPPES
Texas MEDICAID 1754954

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