Provider Demographics
NPI:1780056739
Name:STX MOLECULAR LABORATORIES
Entity type:Organization
Organization Name:STX MOLECULAR LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LABORATORIES OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHENOA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-351-0774
Mailing Address - Street 1:12280 WESTHEIMER RD
Mailing Address - Street 2:SUITE 12A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6053
Mailing Address - Country:US
Mailing Address - Phone:972-564-8811
Mailing Address - Fax:972-564-8810
Practice Address - Street 1:12280 WESTHEIMER RD
Practice Address - Street 2:SUITE 12A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6053
Practice Address - Country:US
Practice Address - Phone:972-564-8811
Practice Address - Fax:972-564-8810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory