Active NPI
Cnside Diagnostics, LLC
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1306684022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CNSIDE DIAGNOSTICS, LLC
- Practice address
- 6420 S Levitt Green Blvd Ste 210
Houston, TX 77021-0003 - Phone
- (858) 875-5214
- Fax
- (800) 241-1130
- NPI assigned
- Jul 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Hedrick, MD
- Title
- Ceo
- Phone
- (760) 846-0999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6420 S Levitt Green Blvd Ste 210
Houston, TX 77021-0003
Mailing address
6420 S Levitt Green Blvd Ste 210
Houston, TX 77021-0003
Phone (877) 288-4174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260101000069 | TX | Part B Supplier - Independent Clinical Laboratory | 8820584527 | Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryLocations
2710 Reed Rd
Ste 160
Houston, TX 77051
Phone (858) 875-5214
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- San Diego, CA
- NPI 1811430234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1306684022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 S LEVITT GREEN BLVD STE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770210003",
"telephone_number": "877-288-4174",
"fax_number": "800-241-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 S LEVITT GREEN BLVD STE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770210003",
"telephone_number": "858-875-5214",
"fax_number": "800-241-1130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CNSIDE DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-17",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "HEDRICK",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-846-0999",
"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 Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.