Organization Active NPI

Medcheck TDM, LLC

  • Clinical Medical Laboratory
  • Bellaire, TX
National Provider Identifier
1104246164
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDCHECK TDM, LLC
Practice address
5909 West Loop S Ste 220
Bellaire, TX 77401-2402
Phone
(512) 762-4414
NPI assigned
Apr 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Mr. Todd Stern
Title
Manager
Phone
(512) 762-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5909 West Loop S Ste 220
Bellaire, TX 77401-2402

Mailing address

130 Whipple Dr
Bellaire, TX 77401-5339
Phone (512) 762-4414

National Provider Directory

National Provider Directory

Locations

5909 West Loop S
Ste 220
Bellaire, TX 77401
Phone (512) 762-4414

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1104246164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WHIPPLE DR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774015339",
            "telephone_number": "512-762-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 WEST LOOP S STE 220",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012402",
            "telephone_number": "512-762-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCHECK TDM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-762-4414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.