Organization Active NPI

Houston Ivf Management

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1194311019
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HOUSTON IVF MANAGEMENT
Practice address
929 Gessner Rd Ste 2300
Houston, TX 77024-2585
Phone
(713) 465-1211
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Jon Pardew
Title
Ceo
Phone
(303) 968-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

929 Gessner Rd Ste 2300
Houston, TX 77024-2585

Mailing address

9380 Station St
Lone Tree, CO 80124-6831
Phone (303) 885-5762

Other identifiers 1

IdentifierTypeStateIssuer
45D0999095OtherCLIA

Other names 1

  • Houston IVF Management Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0999095Houston Ivf Dba CCRM Houston929 Gessner Rd, Suite 2300, Houston, TX 77024AccreditationMar 9, 2027
45D2161101Houston Fertility Institute Memorial City929 Gessner Road, Ste #1320, Houston, TX 77024AccreditationNov 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Houston Ivf3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1194311019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 STATION ST",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246831",
            "telephone_number": "303-885-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD STE 2300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242585",
            "telephone_number": "713-465-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON IVF MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "PARDEW",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-968-1950"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0999095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston IVF Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 15, 2020; 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.