Organization Active NPI

Elite Clinical Laboratory, Inc

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1215055256
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Aug 10, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.