Houston Dna Lab Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HOUSTON DNA LAB CENTER, LLC

Practice address

1022 Pasadena Blvd Ste D
Pasadena, TX 77506-4764

Phone

(713) 329-8655

Fax

(713) 429-8656

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Valondra NimrodNPI 1144949785

Title

Administrator

Phone

(713) 429-8655

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.

• Valondra D Nimrod

  • Behavior Technician
  • Deerfield Beach, FL
  • NPI 1144949785
  NPD Authorized official

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1316702822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 PASADENA BLVD STE D",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775064764",
            "telephone_number": "713-429-8655",
            "fax_number": "713-429-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 PASADENA BLVD STE D",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775064764",
            "telephone_number": "713-329-8655",
            "fax_number": "713-429-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON DNA LAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "NIMROD",
        "authorized_official_first_name": "VALONDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-429-8655"
    },
    "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 Pasadena, TX
• Providers in Pasadena, 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 28, 2024; 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.