Provider Demographics
NPI:1962383059
Name:TEXAS LABORATORY SERVICES DX LLC
Entity type:Organization
Organization Name:TEXAS LABORATORY SERVICES DX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UNKNOWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED KHADEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-410-6026
Mailing Address - Street 1:3317 FINLEY RD STE 214
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3200
Mailing Address - Country:US
Mailing Address - Phone:773-410-6026
Mailing Address - Fax:
Practice Address - Street 1:3317 FINLEY RD STE 214
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3200
Practice Address - Country:US
Practice Address - Phone:773-410-6026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QL0901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management, DiplomateGroup - Single Specialty