Active NPI
Taylor Family Diagnostics LLC
- Physiological Laboratory
- Humble, TX
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
- Last updated
- Jan 28, 2021
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Humble, TX
- NPI 1912012832
NPI 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.