Wise Diagnostic Systems, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WISE DIAGNOSTIC SYSTEMS, LLC

Practice address

1776 Woodstead CT Ste 107
The Woodlands, TX 77380-1450

Phone

(281) 292-7411

Fax

(281) 292-7481

NPI assigned

Jun 20, 2017

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Brady

Title

Owner

Phone

(409) 351-4756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1083134209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 107",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801450",
            "telephone_number": "855-947-3391",
            "fax_number": "855-947-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 107",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801450",
            "telephone_number": "281-292-7411",
            "fax_number": "281-292-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE DIAGNOSTIC SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-351-4756"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie-Stowell Hospital District (The Woodlands Nursing and Rehabilitation Center)
• Winnie-Stowell Hospital District (Park Manor The Woodlands)
• Vandrikha Wint, FNP
• Colleen Winter, L.P.C
• Jennifer Winton, AGACNP-BC
• Sarah Beth Withem
• Jesse Wolfe, DC
• Karin Marie Womack, MSN FNP
• Women of the Woodlands Obstetrics and Gynecology PA
• Women's Gynecology & Wellness, PA

• Clinical Medical Laboratory in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.