Active NPI
Signature Diagnostics LLC
- Clinical Medical Laboratory
- Pearland, TX
National Provider Identifier
1023817822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250520000103 | TX | Part B Supplier - Independent Clinical Laboratory | 3072031459 | Practice locations: Pearland, TX |
National Provider Directory
National Provider DirectoryNPI 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.