Provider Demographics
NPI:1538857693
Name:COMPREHENSIVE BIO LABS
Entity type:Organization
Organization Name:COMPREHENSIVE BIO LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-314-7701
Mailing Address - Street 1:926 N WILCREST DR # 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3504
Mailing Address - Country:US
Mailing Address - Phone:936-314-7701
Mailing Address - Fax:
Practice Address - Street 1:926 N WILCREST DR # 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3504
Practice Address - Country:US
Practice Address - Phone:936-314-7701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory