Organization Active NPI

Labgen

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1124708532
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABGEN
Practice address
450 N Sam Houston Pkwy E Ste 104
Houston, TX 77060-3552
Phone
(281) 372-6107
Fax
(678) 999-8218
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mirza Ahmed, MDNPI 1376653634
Title
Owner
Phone
(281) 372-6107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

450 N Sam Houston Pkwy E Ste 104
Houston, TX 77060-3552

Mailing address

450 N Sam Houston Pkwy E Ste 104
Houston, TX 77060-3552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231130001570 TX Part B Supplier - Independent Clinical Laboratory 5799133815 Practice locations: Houston, TX

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
45D2288370Labgen, LLC450 N Sam Houston Pkwy #104, Houston, TX 77060AccreditationJul 29, 2026

National Provider Directory

National Provider Directory

Locations

450 N Sam Houston Pkwy E
Ste 104
Houston, TX 77060
Phone (281) 372-6107

450 N Sam Houston Pkwy E
Ste 1
Houston, TX 77060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1124708532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N SAM HOUSTON PKWY E STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N SAM HOUSTON PKWY E STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603552",
            "telephone_number": "281-372-6107",
            "fax_number": "678-999-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABGEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-372-6107",
        "authorized_official_credential": "MD"
    },
    "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 5, 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.