City Genomics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CITY GENOMICS INC

Practice address

5252 Hollister St Ste 220
Houston, TX 77040-6210

Phone

(281) 513-7010

NPI assigned

May 9, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Raphael Soediono

Title

Ceo

Phone

(346) 336-4439

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1255189783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 HOLLISTER ST STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406210",
            "telephone_number": "346-336-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 HOLLISTER ST STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406210",
            "telephone_number": "281-513-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY GENOMICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "SOEDIONO",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-336-4439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Center Wellness Inc
• City Clinical Lab
• City East Medical PA
• City East Medical, P.a.
• City East Medical, P.a.
• City Health Care Inc
• City Health Care Inc
• City Medical Services
• City Nursing Services of Texas, Inc
• City Nursing Services of Texas, Inc

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, 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 Aug 18, 2026; 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.