1629578166 NPI number — SCIENTIFIC MARKETING INSTRUMENTATION AND LABORATORY INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629578166 NPI number — SCIENTIFIC MARKETING INSTRUMENTATION AND LABORATORY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCIENTIFIC MARKETING INSTRUMENTATION AND LABORATORY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629578166
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26797 HANNA RD BLDG 4
Provider Second Line Business Mailing Address:
STE 7D
Provider Business Mailing Address City Name:
CONROE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77385-6630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-813-5880
Provider Business Mailing Address Fax Number:
210-549-2837

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26797 HANNA RD BLDG 4
Provider Second Line Business Practice Location Address:
STE 7D
Provider Business Practice Location Address City Name:
CONROE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77385-6630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-813-5880
Provider Business Practice Location Address Fax Number:
210-549-2837
Provider Enumeration Date:
02/20/2018

Additional Information

Authorized Official

Authorized Official Last Name:
WEXLER
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
ADAM
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
979-450-6468

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  45D2104193 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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