Active NPI
Lee Wright
- Physiological Laboratory
- College Station, TX
National Provider Identifier
1356101778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Practice address
- 19045 Cedar Cir
College Station, TX 77845-9616 - Phone
- (979) 321-2345
- NPI assigned
- Mar 21, 2024
- Last updated
- Mar 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
19045 Cedar Cir
College Station, TX 77845-9616
Mailing address
1255B Arrington Rd.
Ste 6000 PMB 103
College Station, TX 77845
Phone (979) 321-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RDD Dev LLC | Physiological Laboratory | Current | Accepting new patients |
Locations
1255 Arrington Rd
Ste 6000
College Station, TX 77845
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1356101778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255B ARRINGTON RD.",
"address_2": "STE 6000 PMB 103",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "77845",
"telephone_number": "979-321-2345",
"fax_number": "979-321-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19045 CEDAR CIR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778459616",
"telephone_number": "979-321-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.