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SOUTHEAST TEXAS MEDICAL ASSOCIATES NPI 1568455814


NPI Information

NPI: 1568455814
Provider Name: SOUTHEAST TEXAS MEDICAL ASSOCIATES

Doing Business As: GULF COAST LABORATORY SERVICES

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
2929 CALDER ST
SUITE 100
BEAUMONT, TX
ZIP 77702
Phone: (409) 833-9797
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SOUTHEAST TEXAS MEDICAL ASSOCIATES is a clinical medical laboratory in Beaumont, TX. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. SOUTHEAST TEXAS MEDICAL ASSOCIATES NPI is 1568455814. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Coast Laboratory Services.

The provider's business location address is:

2929 CALDER ST
SUITE 100
BEAUMONT, TX
ZIP 77702-845
Phone: (409) 833-9797
Fax: (409) 839-3174

The provider's authorized official is Deborah Ricks .
The authorized official title is Adm Asst Credentialing and has the following contact phone number (409) 839-3118.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 4/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory45D0921403TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10847899-02MEDICAIDTEXAS
2690009531OTHERTEXASRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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