Organization Active NPI

Goodgen LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1306148267
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GOODGEN LLC
Practice address
10301 Stella Link Rd
Ste C
Houston, TX 77025-5447
Phone
(832) 363-7478
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Oscar Mangini, MD
Title
Medical Director
Phone
(713) 271-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10301 Stella Link Rd
Ste C
Houston, TX 77025-5447

Mailing address

10301 Stella Link Rd
Ste C
Houston, TX 77025-5447
Phone (832) 363-7478

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1306148267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 STELLA LINK RD",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255447",
            "telephone_number": "832-363-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 STELLA LINK RD",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255447",
            "telephone_number": "832-363-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODGEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MANGINI",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-271-4133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 29, 2010; 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.