My Health Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D1042857 Issued in TX

Legal business name

MY HEALTH LAB

Practice address

4106 Tidewater Dr
Houston, TX 77045-4338

Phone

(713) 517-1875

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John D. Sadler Jr., MEDICAL TECHNOLOGIST

Title

Ceo

Phone

(713) 517-1875

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1164682175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14182",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772214182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 TIDEWATER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454338",
            "telephone_number": "713-517-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTH LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-517-1875",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1042857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID #",
            "identifier": "45D1042857",
            "state": "TX"
        }
    ],
    "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 Mar 26, 2015; 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.