Clear Lake Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLEAR LAKE LABORATORY LLC

Practice address

202 N Texas Ave
Suite 200
Webster, TX 77598-4967

Phone

(281) 824-5442

Fax

(281) 557-7959

NPI assigned

Jan 25, 2010

Last updated

Jan 25, 2010By 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

Dr. Mohammad J Baba, MD

Title

President

Phone

(281) 824-5442

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1184955510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N TEXAS AVE",
            "address_2": "SUITE 200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984967",
            "telephone_number": "281-824-5442",
            "fax_number": "281-557-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N TEXAS AVE",
            "address_2": "SUITE 200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984967",
            "telephone_number": "281-824-5442",
            "fax_number": "281-557-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "BABA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-824-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clear Lake Neuro Diagnostic Clinic PLLC
• Clear Lake OBGYN, PLLC
• Clear Lake Oncology PLLC
• Clear Lake Ophthalmology Clinic PLLC
• Clear Lake Oral and Maxillofacial Surgeyy, PLLC

• Clinical Medical Laboratory in Webster, TX
• Providers in Webster, 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 Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.