NPIMap

Organization Active NPI

Krystal Kollet LLC

  • Clinical Medical Laboratory
  • Tomball, TX
National Provider Identifier
1154075505
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KRYSTAL KOLLET LLC
Practice address
18243 Russett Green Dr
Tomball, TX 77377-4130
Phone
(281) 865-2092
Fax
(281) 214-0456
NPI assigned
Feb 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Krystal Morris, LVNNPI 1912650730
Title
Owner
Phone
(281) 865-2092

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

18243 Russett Green Dr
Tomball, TX 77377-4130

Mailing address

18243 Russett Green Dr
Tomball, TX 77377-4130
Phone (281) 865-2092

National Provider Directory

National Provider Directory

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": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1154075505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18243 RUSSETT GREEN DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773774130",
            "telephone_number": "281-865-2092",
            "fax_number": "281-214-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18243 RUSSETT GREEN DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773774130",
            "telephone_number": "281-865-2092",
            "fax_number": "281-214-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL KOLLET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-865-2092",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.