Gulf Coast Laboratory Services

LBN: Southeast Texas Medical Associates
Gulf Coast Laboratory Services is an health care organization with primary practice located at 2929 Calder St Suite 100, Beaumont TX 77702-1845. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Southeast Texas Medical Associates can be contacted via phone (409) 833-9797, or through Ricks, Deborah via phone (409) 839-3118.

Contact Information

Primary practice address
2929 Calder St Suite 100 Beaumont TX 77702-1845
Phone: (409) 833-9797
Fax: (409) 839-3174
Website:
Map and Directions
Authorized official contact:
Name: Ricks, Deborah
Phone: (409) 839-3118

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 45D0921403 Texas

Profile Details

NPI number 1568455814
LBN Legal business name Southeast Texas Medical Associates
DBA Doing business as Gulf Coast Laboratory Services
Authorized official Ricks, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2005
Last updated Apr 11th, 2019 - about 7 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 1568455814 NPPES
Texas MEDICAID 0847899-02
Texas Other 690009531

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