Organization Active NPI

Signature Diagnostics LLC

  • Clinical Medical Laboratory
  • Pearland, TX
National Provider Identifier
1023817822
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SIGNATURE DIAGNOSTICS LLC
Practice address
2743 Smith Ranch Rd Ste 1502
Pearland, TX 77584-0168
Phone
(281) 759-0117
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahtesham Mohammed
Title
Owner
Phone
(281) 759-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2743 Smith Ranch Rd Ste 1502
Pearland, TX 77584-0168

Mailing address

2743 Smith Ranch Rd Ste 1502
Pearland, TX 77584-0168
Phone (281) 759-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520000103 TX Part B Supplier - Independent Clinical Laboratory 3072031459 Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1023817822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 SMITH RANCH RD STE 1502",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840168",
            "telephone_number": "281-759-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 SMITH RANCH RD STE 1502",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840168",
            "telephone_number": "281-759-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "AHTESHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-759-0117"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.