Individual provider Active NPI

Dorothy Marie Mitchell, LSA, CSFA, CST

  • Clinical Laboratory Director (Non-physician)
  • Conroe, TX
National Provider Identifier
1194383141
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Practice address
1110 N Loop 336 W Ste 410-E
Conroe, TX 77301-1193
Phone
(936) 337-3565
Fax
(936) 260-0265
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X
Clinical Laboratory Director (Non-physician) 247ZC0005X Primary
Surgical Assistant 246ZC0007X

Addresses

Primary practice location

1110 N Loop 336 W Ste 410-E
Conroe, TX 77301-1193

Mailing address

1110 N Loop 336 W Ste 410-E
Conroe, TX 77301-1193
Phone (936) 337-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Advanced Surgical Services, LLC Phlebotomy CurrentSince Mar 31, 2024 Accepting new patients

Locations

1110 N Loop 336 W
Ste 410E
Conroe, TX 77301
Phone (936) 337-3565

125 W State Highway 150
Ste C2
New Waverly, TX 77358

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1194383141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N LOOP 336 W STE 410-E",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011193",
            "telephone_number": "936-337-3565",
            "fax_number": "936-260-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N LOOP 336 W STE 410-E",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011193",
            "telephone_number": "936-337-3565",
            "fax_number": "936-260-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DOROTHY",
        "middle_name": "MARIE",
        "credential": "LSA, CSFA, CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.