Organization Active NPI

1420 Labs LLC

  • Clinical Medical Laboratory
  • Spring, TX
National Provider Identifier
1205794815
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
1420 LABS LLC
Practice address
314 W Riley Fuzzel Rd BLDG 3
Suite 109
Spring, TX 77373-8396
Phone
(281) 940-4628
NPI assigned
Jan 13, 2026
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Jim Duchess
Title
Ceo
Phone
(412) 781-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

314 W Riley Fuzzel Rd BLDG 3
Suite 109
Spring, TX 77373-8396

Mailing address

314 W Riley Fuzzel Rd BLDG 3
Suite 109
Spring, TX 77373-8396
Phone (281) 940-4628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260304000196 TX Part B Supplier - Independent Clinical Laboratory 8729560362 Practice locations: Spring, TX

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
45D23242861420 Labs LLC314 W Riley Fuzzel Rd BLDG 3 Ste 109, Spring, TX 77373RegistrationMay 20, 2027

National Provider Directory

National Provider Directory

Locations

314 W Riley Fuzzel Rd
Bldg 3
Spring, TX 77373
Phone (281) 790-5701

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1205794815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W RILEY FUZZEL RD BLDG 3",
            "address_2": "SUITE 109",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738396",
            "telephone_number": "281-940-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W RILEY FUZZEL RD BLDG 3",
            "address_2": "SUITE 109",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738396",
            "telephone_number": "281-940-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1420 LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "DUCHESS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-781-2162"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.