Brazosport Clinical Lab
Brazosport Clinical Lab is a Clinical Medical Laboratory in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2008.
- Licensed in
- TX
- In the registry since
- 2008
Practice location Address checks out
54 Flag Lake PlzLake Jackson, TX 77566-6263
Phone: (979) 297-0362
Fax: (979) 297-9096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 45D0497096 (TX) |
|---|
Record details
| NPI number | 1336307172 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Hardoin — President · (979) 297-0362 |
| NPI enumerated | May 29, 2008 |
| Last updated in NPPES | May 29, 2008 |
| Mailing address | 54 Flag Lake Plz, Lake Jackson, TX 77566-6263 |
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