Provider Demographics
NPI:1063380988
Name:NOVAGEN CLINICAL LAB INC.
Entity type:Organization
Organization Name:NOVAGEN CLINICAL LAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAJEEB
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-871-7332
Mailing Address - Street 1:11104 W AIRPORT BLVD STE 121
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3016
Mailing Address - Country:US
Mailing Address - Phone:346-871-7332
Mailing Address - Fax:346-980-4685
Practice Address - Street 1:11104 W AIRPORT BLVD STE 121
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3016
Practice Address - Country:US
Practice Address - Phone:346-871-7332
Practice Address - Fax:346-980-4685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory