Organization Active NPI

Ganta Diagnostics LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1073476347
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GANTA DIAGNOSTICS LLC
Practice address
3505 S Dairy Ashford Rd Ste 115
Houston, TX 77082-5524
Phone
(281) 917-6270
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Prashanth Kumar Ganta
Title
Owner
Phone
(281) 917-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3505 S Dairy Ashford Rd Ste 115
Houston, TX 77082-5524

Mailing address

3505 S Dairy Ashford Rd Ste 115
Houston, TX 77082-5524
Phone (281) 917-6270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260211001245 TX Part B Supplier - Independent Clinical Laboratory 0547749368 Practice locations: Houston, 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
45D2335321Ganta Diagnostics LLC3505 S Dairy Ashford Road Suite 115, Houston, TX 77082RegistrationDec 8, 2027

National Provider Directory

National Provider Directory

Locations

3505 S Dairy Ashford Rd
Ste 115
Houston, TX 77082
Phone (281) 917-6270

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1073476347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 S DAIRY ASHFORD RD STE 115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825524",
            "telephone_number": "281-917-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 S DAIRY ASHFORD RD STE 115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825524",
            "telephone_number": "281-917-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANTA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "GANTA",
        "authorized_official_first_name": "PRASHANTH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-917-6270"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.