Active NPI
Taylor Family Diagnostics LLC
- Physiological Laboratory
- Humble, TX
National Provider Identifier
1366002255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- TAYLOR FAMILY DIAGNOSTICS LLC
- Practice address
- 1806 Humble Place Dr
Humble, TX 77338-5277 - Phone
- (844) 212-5321
- Fax
- (214) 594-9559
- NPI assigned
- Jun 13, 2019
- 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
- Jill Taylor, DO
- Title
- Owner
- Phone
- (281) 667-4974
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Specialist/Technologist | 246ZE0500X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| EEG Technician | 2472E0500X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
1806 Humble Place Dr
Humble, TX 77338-5277
Mailing address
1806 Humble Place Dr
Humble, TX 77338-5277
Phone (281) 667-4974
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2161940 | Taylor Family Practice | Certificate of waiver | Dec 21, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611792000000",
"number": "1366002255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 HUMBLE PLACE DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385277",
"telephone_number": "281-667-4974",
"fax_number": "214-594-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 HUMBLE PLACE DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385277",
"telephone_number": "844-212-5321",
"fax_number": "214-594-9559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLOR FAMILY DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-13",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-667-4974",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "246ZE0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2472E0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.