Southeast Texas Medical Associates in Beaumont - Clinical Medical Laboratory
Southeast Texas Medical Associates - NPI 1568455814
Southeast Texas Medical Associates is a Clinical Medical Laboratory in Beaumont, Texas. Southeast Texas Medical Associates practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Southeast Texas Medical Associates is 1568455814. The last update date is 2019-04-11.
Southeast Texas Medical Associates's current location address is 2929 Calder St, Beaumont, Texas. You can contact this provider via phone number 4098339797 and fax number 4098393174. The mailing address for Southeast Texas Medical Associates is 2929 Calder St, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Texas Medical Associates |
|---|---|
| Address | 2929 Calder St, Beaumont, Texas |
| Phone Number | 4098339797 |
| Fax Number | 4098393174 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADM ASST C |
|---|---|
| Authorized Official Name | Ricks Deborah |
| Telephone Number | 4098393118 |
NPI Number Detail
| NPI Number | 1568455814 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2019-04-11 |
Provider Mailing Address Detail
| Address | 2929 Calder St |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777021845 |
| Phone Number | 4098339797 |
| Fax Number | 4098393174 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 45D0921403 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0847899-02 | TX | -- | |
| 690009531 | TX | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Southeast Texas Medical Associates by the Centers for Medicare & Medicaid Services (CMS)?
The Southeast Texas Medical Associates has been assigned the NPI (National Provider Identifier) 1568455814. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Southeast Texas Medical Associates?
The Southeast Texas Medical Associates is physically situated at 2929 Calder St, in the city of Beaumont, state of TX, with the postal code 777021845.
What is Southeast Texas Medical Associates's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southeast Texas Medical Associates's specialized field of practice is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of specialization is 291U00000X.
On what date did the Southeast Texas Medical Associates receive the assignment of its 1568455814 from the Centers for Medicare & Medicaid Services?
The Southeast Texas Medical Associates was issued its 1568455814 by the Centers for Medicare & Medicaid Services on 2005-08-23.
When was the information related to Southeast Texas Medical Associates most recently updated or refreshed?
The details pertaining to the Southeast Texas Medical Associates, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-11.