Provider Demographics
NPI:1518794957
Name:WE ARE STAR SPECIMEN COLLECTORS, LLC
Entity type:Organization
Organization Name:WE ARE STAR SPECIMEN COLLECTORS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMY SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-769-1880
Mailing Address - Street 1:2800 HIGHWAY 121
Mailing Address - Street 2:SUITE 1000 BOX #1058
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039
Mailing Address - Country:US
Mailing Address - Phone:214-769-1880
Mailing Address - Fax:214-774-6770
Practice Address - Street 1:7112 AVINGTON WAY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-8925
Practice Address - Country:US
Practice Address - Phone:214-769-1880
Practice Address - Fax:214-774-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty