Provider Demographics
NPI:1194603001
Name:CORE LAB ESSENTIALS LLC.
Entity type:Organization
Organization Name:CORE LAB ESSENTIALS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PHLEBOTOMY TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:LEVETTE'
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:346-870-0145
Mailing Address - Street 1:25807 WESTHEIMER PKWY STE 305
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5342
Mailing Address - Country:US
Mailing Address - Phone:346-870-0145
Mailing Address - Fax:713-583-5707
Practice Address - Street 1:25807 WESTHEIMER PKWY STE 305
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5342
Practice Address - Country:US
Practice Address - Phone:346-870-0145
Practice Address - Fax:713-583-5707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty