Provider Demographics
NPI:1811615198
Name:LABCARE
Entity type:Organization
Organization Name:LABCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAJEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-228-8103
Mailing Address - Street 1:13601 PRESTON RD STE 360E
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4903
Mailing Address - Country:US
Mailing Address - Phone:972-807-7600
Mailing Address - Fax:
Practice Address - Street 1:13601 PRESTON RD STE 360E
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4903
Practice Address - Country:US
Practice Address - Phone:972-807-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory