Organization Active NPI

Independent Forensics of Texas

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1174812952
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INDEPENDENT FORENSICS OF TEXAS
Practice address
8300 Bissonnet St Suite 299
Houston, TX 77074
Phone
(281) 846-4577
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Mr. Keilan D Peterson
Title
President
Phone
(281) 846-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8300 Bissonnet St Suite 299
Houston, TX 77074

Mailing address

8300 Bissonnet St Ste 299
Houston, TX 77074-3903
Phone (281) 846-4577

National Provider Directory

National Provider Directory

Locations

8300 Bissonnet St
Ste 299
Houston, TX 77074
Phone (281) 846-4577

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1174812952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST STE 299",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743903",
            "telephone_number": "281-846-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST SUITE 299",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "281-846-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT FORENSICS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KEILAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-846-4577",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Apr 1, 2011; 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.