Active NPI
Novagen Clinical Lab Inc.
- Clinical Medical Laboratory
- Stafford, TX
National Provider Identifier
1063380988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NOVAGEN CLINICAL LAB INC.
- Practice address
- 11104 W Airport Blvd Ste 121
Stafford, TX 77477-3016 - Phone
- (346) 871-7332
- Fax
- (346) 980-4685
- NPI assigned
- Oct 24, 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
- Najeeb Ahmed
- Title
- President
- Phone
- (346) 871-7332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
11104 W Airport Blvd Ste 121
Stafford, TX 77477-3016
Mailing address
11104 W Airport Blvd Ste 121
Stafford, TX 77477-3016
Phone (346) 871-7332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260126000300 | TX | Part B Supplier - Independent Clinical Laboratory | 9032696679 | Practice locations: Stafford, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2333748 | Novagen Clinical Lab Inc | Registration | Nov 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
11104 W Airport Blvd
Ste 121
Stafford, TX 77477
Phone (346) 215-0862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1063380988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11104 W AIRPORT BLVD STE 121",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773016",
"telephone_number": "346-871-7332",
"fax_number": "346-980-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 W AIRPORT BLVD STE 121",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773016",
"telephone_number": "346-871-7332",
"fax_number": "346-980-4685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAGEN CLINICAL LAB INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "NAJEEB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "346-871-7332"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.