Central Clincial Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CENTRAL CLINCIAL DIAGNOSTICS, LLC

Practice address

25510 I-45 N
Ste 1C
Spring, TX 77386-1375

Phone

(281) 292-7411

Fax

(281) 292-7481

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Thinh Phan, MD

Title

Owner

Phone

(281) 292-7411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1235500992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD",
            "address_2": "STE 280",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802929",
            "telephone_number": "281-292-7411",
            "fax_number": "281-292-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25510 I-45 N",
            "address_2": "STE 1C",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861375",
            "telephone_number": "281-292-7411",
            "fax_number": "281-292-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CLINCIAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "THINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-292-7411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Spring, TX
• Providers in Spring, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.