Organization Active NPI

Eta Labs

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1235024985
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ETA LABS
Practice address
396 W Greens Rd Ste 200
Houston, TX 77067-4530
Phone
(832) 932-6279
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Kevin Fulton
Title
Evp/Chief Legal Counsel
Phone
(832) 932-6279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

396 W Greens Rd Ste 200
Houston, TX 77067-4530

Mailing address

396 W Greens Rd Ste 200
Houston, TX 77067-4530
Phone (832) 932-6279

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
45D2325266Eta Labs, LLC396 W Greens Road, Suite 250, Houston, TX 77067RegistrationJun 9, 2027

National Provider Directory

National Provider Directory

Locations

396 W Greens Rd
Ste 200
Houston, TX 77067
Phone (832) 932-6279

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1235024985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 W GREENS RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674530",
            "telephone_number": "832-932-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 W GREENS RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674530",
            "telephone_number": "832-932-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETA LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EVP/CHIEF LEGAL COUNSEL",
        "authorized_official_telephone_number": "832-932-6279"
    },
    "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 Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.