Tomball Diagnostic Solutions, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TOMBALL DIAGNOSTIC SOLUTIONS, INC.

Practice address

17484 NW Fwy
Suite 1202 B
Jersey Village, TX 77040-1002

Phone

(281) 793-6998

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Ginny Mount JacobsNPI 1043681612

Title

VP

Phone

(281) 793-6998

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ginny Jacobs

  • Clinical Medical Laboratory
  • Tomball, TX
  • NPI 1043681612
  Authorized official Same address or phone

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1285001214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17484 NW FREEWAY",
            "address_2": "SUITE 1202 B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77040",
            "telephone_number": "281-793-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17484 NW FWY",
            "address_2": "SUITE 1202 B",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401002",
            "telephone_number": "281-793-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL DIAGNOSTIC SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "GINNY",
        "authorized_official_middle_name": "MOUNT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "281-793-6998"
    },
    "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 Jersey Village, TX
• Providers in Jersey Village, 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 25, 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.