Active NPI
Houston Diagnostics Lab LLC
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1114749850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HOUSTON DIAGNOSTICS LAB LLC
- Practice address
- 5615 NW Central Dr Ste C107
Houston, TX 77092-2048 - Phone
- (832) 932-2188
- Fax
- (832) 932-2189
- NPI assigned
- Oct 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alaa Quneis
- Title
- Owner
- Phone
- (832) 932-2188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
5615 NW Central Dr Ste C107
Houston, TX 77092-2048
Mailing address
5615 NW Central Dr Ste C107
Houston, TX 77092-2048
Phone (832) 932-2188
National Provider Directory
National Provider DirectoryLocations
5615 NW Central Dr
Ste C107
Houston, TX 77092
Phone (832) 932-2188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729728000000",
"number": "1114749850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 NW CENTRAL DR STE C107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770922048",
"telephone_number": "832-932-2188",
"fax_number": "832-932-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 NW CENTRAL DR STE C107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770922048",
"telephone_number": "832-932-2188",
"fax_number": "832-932-2189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSTON DIAGNOSTICS LAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "QUNEIS",
"authorized_official_first_name": "ALAA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-932-2188"
},
"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 Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.