Active NPI
Elite Clinical Laboratory, Inc
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1215055256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ELITE CLINICAL LABORATORY, INC
- Practice address
- 3600 S Gessner Rd Ste 110
Houston, TX 77063-5149 - Phone
- (281) 617-7586
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chad Harper
- Title
- Owner
- Phone
- (832) 316-7764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3600 S Gessner Rd Ste 110
Houston, TX 77063-5149
Mailing address
3600 S Gessner Rd Ste 110
Houston, TX 77063-5149
Phone (281) 617-7586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090209000121 | TX | Part B Supplier - Independent Clinical Laboratory | 7517022551 | Practice locations: Houston, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Elite Clinical Laboratory Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1942442785
Locations
740 Lakeview Plaza Blvd
Ste 125
Worthington, OH 43085
427 W 20th St
Ste 201
Houston, TX 77008
Phone (713) 691-1654
3600 S Gessner Rd
Ste 110
Houston, TX 77063
Phone (281) 617-7586
8311 Knight Rd
Houston, TX 77054
Phone (713) 383-9211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1215055256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 S GESSNER RD STE 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635149",
"telephone_number": "281-617-7586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S GESSNER RD STE 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635149",
"telephone_number": "281-617-7586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE CLINICAL LABORATORY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-316-7764",
"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 Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.