Davinci Innovations, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

L13000030595 Issued in FL

Legal business name

DAVINCI INNOVATIONS, LLC

Practice address

9150 Main St
Suite C
Houston, TX 77025-3843

Phone

(844) 384-5887

Fax

(807) 270-7384

NPI assigned

Apr 4, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Ann Miller

Title

Ceo

Phone

(518) 598-7272

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1275876591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847090",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022847090",
            "telephone_number": "844-384-5887",
            "fax_number": "807-270-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MAIN ST",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253843",
            "telephone_number": "844-384-5887",
            "fax_number": "807-270-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVINCI INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-598-7272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "L13000030595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "45D2069185",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "23D2071783",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "49D2069987",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Davila, RD, LD, CDE
• Perla Davila, LCSW
• Raquel Eunice Davila, M.D.
• Sarah E Davila, LPC-S
• Karen Davin, CRNA
• Davinci Pain Consultants, PLLC
• Davis & Lewis PLLC
• Davis Family Wellness Center PLLC
• Davis Health Ventures PLLC
• Gloria Elizabeth Davis-Brackins, RPH

• 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 Mar 4, 2014; 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.