Extended Laboratory Services, L.P.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXTENDED LABORATORY SERVICES, L.P.

Practice address

6160 South Loop E
Houston, TX 77087-1010

Phone

(281) 556-1662

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

John Clark

Title

Medical Directro

Phone

(281) 556-1662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366477366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12913",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772172913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SOUTH LOOP E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770871010",
            "telephone_number": "281-556-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED LABORATORY SERVICES, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTRO",
        "authorized_official_telephone_number": "281-556-1662"
    },
    "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 Houston, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.