Provider Demographics
NPI:1407680911
Name:ONE STICK LAB, LLC
Entity type:Organization
Organization Name:ONE STICK LAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-919-2188
Mailing Address - Street 1:4201 CYPRESS CREEK PKWY STE 406
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3470
Mailing Address - Country:US
Mailing Address - Phone:281-919-2188
Mailing Address - Fax:281-214-6846
Practice Address - Street 1:4201 CYPRESS CREEK PKWY STE 406
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3470
Practice Address - Country:US
Practice Address - Phone:281-919-2188
Practice Address - Fax:281-214-6846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center