Organization Active NPI

One Source Toxicology Laboratory Inc

  • Clinical Medical Laboratory
  • Pasadena, TX
National Provider Identifier
1245409457
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D1014951 Issued in TX
Legal business name
ONE SOURCE TOXICOLOGY LABORATORY INC
Practice address
1209 Genoa Red Bluff Rd
Pasadena, TX 77504
Phone
(713) 920-2559
Fax
(281) 998-8587
NPI assigned
Feb 22, 2008
Organization subpart
Yes
Parent organization
ONE SOURCE TOXICOLOGY LABORATORY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Mr. Romeo F Laurel
Title
Ceo
Phone
(281) 920-2559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D1014951 TX Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1209 Genoa Red Bluff Rd
Pasadena, TX 77504

Mailing address

1209 Genoa Red Bluff Rd
Pasadena, TX 77504
Phone (713) 920-2559

National Provider Directory

National Provider Directory
Part of
One Source Toxicology Lab

Locations

1213 Genoa Red Bluff Rd
Pasadena, TX 77504
Phone (713) 920-1335

1209 Genoa Red Bluff Rd
Pasadena, TX 77504
Phone (713) 920-2559

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1245409457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 GENOA RED BLUFF RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "713-920-2559",
            "fax_number": "281-998-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 GENOA RED BLUFF RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "713-920-2559",
            "fax_number": "281-998-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE TOXICOLOGY LABORATORY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE SOURCE TOXICOLOGY LABORATORY INC",
        "enumeration_date": "2008-02-22",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "LAUREL",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-920-2559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1014951",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.