Organization Active NPI

Sunrise Labs TX

  • Clinical Medical Laboratory
  • Pearland, TX
National Provider Identifier
1134888191
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUNRISE LABS TX
Practice address
2825 Miller Ranch Rd Ste 221
Pearland, TX 77584-9714
Phone
(801) 416-0884
NPI assigned
Dec 16, 2021
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Bart Brockbank
Title
Manager
Phone
(801) 416-0884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2825 Miller Ranch Rd Ste 221
Pearland, TX 77584-9714

Mailing address

3397 N 1200 E Ste 108
Lehi, UT 84043-3262
Phone (801) 416-0884

National Provider Directory

National Provider Directory

Locations

424 W 800 N
#202
Orem, UT 84057

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1134888191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 N 1200 E STE 108",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433262",
            "telephone_number": "801-416-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 MILLER RANCH RD STE 221",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849714",
            "telephone_number": "801-416-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE LABS TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "BROCKBANK",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-416-0884"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.