Provider Demographics
NPI:1871169706
Name:ENCOMPASS LABORATORY LLC
Entity type:Organization
Organization Name:ENCOMPASS LABORATORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-396-1902
Mailing Address - Street 1:2323 S VOSS RD STE 455
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3863
Mailing Address - Country:US
Mailing Address - Phone:281-501-5656
Mailing Address - Fax:
Practice Address - Street 1:2323 S VOSS RD STE 455
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3863
Practice Address - Country:US
Practice Address - Phone:281-501-5656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory