Organization Active NPI

Novagen Clinical Lab Inc.

  • Clinical Medical Laboratory
  • Stafford, TX
National Provider Identifier
1063380988
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Oct 24, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20260126000300 TX Part B Supplier - Independent Clinical Laboratory 9032696679 Practice locations: Stafford, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2333748Novagen Clinical Lab Inc11104 W Airport Blvd Ste 121, Stafford, TX 77477RegistrationNov 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.