Gene Street, LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENE STREET, LLC.

Practice address

11301 Fallbrook Dr Ste 120
Houston, TX 77065-4269

Phone

(346) 656-9830

Fax

(713) 703-7916

NPI assigned

Nov 22, 2019

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mir Ali

Title

Owner

Phone

(346) 656-9830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1134765308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654269",
            "telephone_number": "346-656-9830",
            "fax_number": "713-703-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654269",
            "telephone_number": "346-656-9830",
            "fax_number": "713-703-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE STREET, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-656-9830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.