Organization Active NPI

De Laboratory, LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1104443266
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DE LABORATORY, LLC
Practice address
2450 Fondren Rd Ste 265
Houston, TX 77063-2318
Phone
(562) 534-5094
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Corinna Porras
Title
Manager
Phone
(281) 942-7989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2450 Fondren Rd Ste 265
Houston, TX 77063-2318

Mailing address

2450 Fondren Rd Ste 265
Houston, TX 77063-2318
Phone (281) 942-7989

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
45D2185343De Laboratory, LLC2450 Fondren Road, Suite 265, Houston, TX 77063AccreditationFeb 8, 2028

National Provider Directory

National Provider Directory

Locations

2549 Eastbluff Dr
#750
Newport Beach, CA 92660

2540 Fondren Rd
Ste 265
Houston, TX 77063

2450 Fondren Rd
Ste 265
Houston, TX 77063
Phone (562) 534-5094

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1104443266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632318",
            "telephone_number": "281-942-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632318",
            "telephone_number": "562-534-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "CORINNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-942-7989"
    },
    "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 May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.