Active NPI
Baylor College of Medicine
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1124002837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BAYLOR COLLEGE OF MEDICINE
- Practice address
- 2575 W Bellfort Ave Ste 200
Houston, TX 77054 - Phone
- (713) 432-1500
- NPI assigned
- Dec 6, 2005
- 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
- Mr. Richard C Allison
- Title
- Authorized Official
- Phone
- (713) 798-1746
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2575 W Bellfort Ave Ste 200
Houston, TX 77054
Mailing address
PO Box 676512
Dallas, TX 75267-6512
Phone (877) 257-4123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690900004 | Other | TX | RAILROAD MEDICARE |
Other names 1
- BAYLOR DERMATOPATHOLOGY LABORATORY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050425000905 | TX | Part B Supplier - Independent Clinical Laboratory | 0042259533 | Practice locations: Houston, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2288656 | Descendantsdna Laboratories, LLC | Accreditation | Sep 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
6535 Fannin St
Rm F865
Houston, TX 77030
1200 Moursund St
Houston, TX 77030
Phone (713) 798-4053
6535 Fannin St
Houston, TX 77030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Conroe, TX
- NPI 1689679128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1124002837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 676512",
"city": "DALLAS",
"state": "TX",
"postal_code": "752676512",
"telephone_number": "877-257-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 W BELLFORT AVE STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-432-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYLOR COLLEGE OF MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-06",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "713-798-1746",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "690900004",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAYLOR DERMATOPATHOLOGY LABORATORY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 12, 2026; 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.