Organization Active NPI

Purvara Labs, Inc

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1245129212
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PURVARA LABS, INC
Practice address
535 Greens Pkwy
Houston, TX 77067-4527
Phone
(808) 386-3669
NPI assigned
Jul 2, 2025
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Mr. Robert W Cacal
Title
Authorized Official / Ceo
Phone
(808) 386-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

535 Greens Pkwy
Houston, TX 77067-4527

Mailing address

535 Greens Pkwy
Houston, TX 77067-4527
Phone (808) 386-3669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251007004235 TX Part B Supplier - Independent Clinical Laboratory 3971000878 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

535 GRNS Pkwy
Houston, TX 77067
Phone (808) 386-3669

535 GRNS Pkwy
Houston, TX 77067
Phone (808) 386-3669

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1245129212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GREENS PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674527",
            "telephone_number": "808-386-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GREENS PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674527",
            "telephone_number": "808-386-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURVARA LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "CACAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / CEO",
        "authorized_official_telephone_number": "808-386-3669",
        "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 Jul 2, 2025; 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.