Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAMUDU BALIMA ISSAH, MT
Active Sole ProprietorMAMUDU BALIMA ISSAH, MT is a Clinical Medical Laboratory healthcare provider located in EULESS, Texas. NPI 1104095132 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · EULESS, TX
Registration Details
- NPI Number
- 1104095132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2008 (18.282048227948 yrs)
- Last Updated
- Feb 24, 2008
- License
-
51513 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1307 CEDAR RIDGE TEREULESS, TX, 760392807Browse TX providers · Browse ZIP 76039
- Phone
- 6824657542
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.