Organization Active NPI

Pioneer Lab Houston, LP

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1346644929
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PIONEER LAB HOUSTON, LP
Practice address
9130 Highway 6 S
Houston, TX 77083-6376
Phone
(346) 340-8080
Fax
(346) 355-6788
NPI assigned
Oct 10, 2014
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Sourabh Sanduja
Title
Owner
Phone
(346) 340-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

9130 Highway 6 S
Houston, TX 77083-6376

Mailing address

9130 Highway 6 S
Houston, TX 77083-6376
Phone (346) 340-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150923001004 TX Part B Supplier - Independent Clinical Laboratory 2365759388 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9130 Highway 6 S
Houston, TX 77083
Phone (281) 564-3300

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1346644929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 HIGHWAY 6 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836376",
            "telephone_number": "346-340-8080",
            "fax_number": "346-355-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 HIGHWAY 6 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836376",
            "telephone_number": "346-340-8080",
            "fax_number": "346-355-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER LAB HOUSTON, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "SANDUJA",
        "authorized_official_first_name": "SOURABH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-340-8080"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "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 Apr 19, 2024; 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.

Verify at the official NPI Registry.