NPIMap

Organization Active NPI

Sam Houston State University

  • Clinical Medical Laboratory
  • Huntsville, TX
National Provider Identifier
1215519368
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SAM HOUSTON STATE UNIVERSITY
Practice address
2424 Sam Houston Ave Suite B8
Huntsville, TX 77341-0001
Phone
(936) 294-3788
NPI assigned
Apr 27, 2021
Organization subpart
Yes
Parent organization
SAM HOUSTON STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Kathryn Christofferson
Title
Director of Clinic Operations
Phone
(936) 525-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2424 Sam Houston Ave Suite B8
Huntsville, TX 77341-0001

Mailing address

2424 Sam Houston Ave Suite B8
Huntsville, TX 77341-0001
Phone (936) 294-3788

Other names 1

  • Diagnostic Laboratory for Human Health Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL smith-herron@shsu.edu Direct

National Provider Directory

National Provider Directory
Tax ID family
Sam Houston State University Diagnostic Laboratory for Human Health5 organizations share this tax ID, including this one
Part of
Sam Houston State University Diagnostic Laboratory for Human Health

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1215519368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 SAM HOUSTON AVE SUITE B8",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773410001",
            "telephone_number": "936-294-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SAM HOUSTON AVE SUITE B8",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773410001",
            "telephone_number": "936-294-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM HOUSTON STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAM HOUSTON STATE UNIVERSITY",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "CHRISTOFFERSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "936-525-3600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smith-herron@shsu.edu",
            "affiliation": "N",
            "endpointDescription": "smith-herron@shsu.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2424 Sam Houston Ave Suite B8",
            "city": "Huntsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773410001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Diagnostic Laboratory for Human Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.