NPIMap

Organization Active NPI

Mediline Wellness and Diagnastic

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1285877365
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MEDILINE WELLNESS AND DIAGNASTIC
Practice address
6550 Mapleridge Street #214
Houston, TX 77081
Phone
(713) 669-0848
Fax
(713) 669-0648
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Mr. Emmanuel M Lord, MR
Title
Adminisrator
Phone
(713) 669-0848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

6550 Mapleridge Street #214
Houston, TX 77081

Mailing address

6550 Mapleridge St Ste 214
Houston, TX 77081-4647
Phone (713) 669-0438

National Provider Directory

National Provider Directory
Tax ID family
Advance Medical Accptance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1285877365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814647",
            "telephone_number": "713-669-0438",
            "fax_number": "713-669-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE STREET #214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77081",
            "telephone_number": "713-669-0848",
            "fax_number": "713-669-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDILINE WELLNESS AND DIAGNASTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISRATOR",
        "authorized_official_telephone_number": "713-669-0848",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 20, 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.