Provider Demographics
NPI:1780314914
Name:SERENALYTICS, LLC
Entity type:Organization
Organization Name:SERENALYTICS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-293-4304
Mailing Address - Street 1:PO BOX 879
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76097-0879
Mailing Address - Country:US
Mailing Address - Phone:817-293-4304
Mailing Address - Fax:817-293-7244
Practice Address - Street 1:11838 MEDPARK DR STE 103
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-0278
Practice Address - Country:US
Practice Address - Phone:817-293-4304
Practice Address - Fax:817-293-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-11
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory