Provider Demographics
NPI:1184007114
Name:FEDERAL TOXICOLOGY LLC
Entity type:Organization
Organization Name:FEDERAL TOXICOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-667-8132
Mailing Address - Street 1:2809 MILLER RANCH RD
Mailing Address - Street 2:SUITE 425
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9725
Mailing Address - Country:US
Mailing Address - Phone:832-667-8132
Mailing Address - Fax:281-664-5899
Practice Address - Street 1:2809 MILLER RANCH RD
Practice Address - Street 2:SUITE 425
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9725
Practice Address - Country:US
Practice Address - Phone:832-667-8132
Practice Address - Fax:281-664-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory