NPI age
15 years
Enumerated 2010-08-18
● Active Type 2 · Organization
Legacy Medical Lab Services, Llc
Legacy Medical Lab Services, Llc is 1 of 2082 clinical medical laboratory organizations in Texas.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rahimi
Vice President
Last NPPES update
2011-04-04
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
15 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-08Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
688 Alliance Pkwy, Suite #200
Hewitt, TX 766433585
Mailing address
Po Box 8
Hewitt, TX 766430008
Authorized official
Lisa Kay Rahimi
Vice President
📞 2547323658
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 45D2010680 | CLIA ID NUMBER |
| 05 (TX) | 217525901 | |
| 01 (TX) | 22110 | COLA NUMBER |
| 05 (TX) | 217525902 |
Practice context
Single-site organization. Only one practice location on file.
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