Elite Lab Services Llc

LBN: Elite Lab Services Llc
Elite Lab Services Llc is an health care organization with primary practice located at 2211 Roy Road , Tyler TX 75707-6275. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Elite Lab Services Llc can be contacted via phone (903) 509-3522, or through Dengler, Jerry via phone (903) 509-3522.

Contact Information

Primary practice address
2211 Roy Road Tyler TX 75707-6275
Phone: (903) 509-3522
Fax: (903) 509-3523
Website:
Map and Directions
Authorized official contact:
Name: Dengler, Jerry
Phone: (903) 509-3522

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 45D1044325 Texas

Profile Details

NPI number 1578549051
LBN Legal business name Elite Lab Services Llc
DBA Doing business as
Authorized official Dengler, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Mar 14th, 2011 - about 15 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 1578549051 NPPES
Texas MEDICAID 176690901

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