Organization Active NPI

Andlyco, LLC

Doing business as All American Screening & Medical

  • General Practice Physician
  • Deer Park, TX
National Provider Identifier
1366824906
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ANDLYCO, LLC
Doing business as
All American Screening & Medical
Practice address
1803 Center St
Suite a
Deer Park, TX 77536-3598
Phone
(713) 476-4600
Fax
(281) 930-8856
NPI assigned
Jun 19, 2015
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Mrs. Karla R McClellan, CPA
Title
Cfo
Phone
(281) 680-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1803 Center St
Suite a
Deer Park, TX 77536-3598

Mailing address

1803 Center St
Suite a
Deer Park, TX 77536-3598
Phone (713) 476-4600

Other names 1

  • All American Screening & Medical Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2189399All American Screening & Medical1803 Center St Suite a, Deer Park, TX 77536Certificate of waiverJul 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
All American Screening Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1803 Center St
Ste A
Deer Park, TX 77536
Phone (713) 476-4600

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1366824906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CENTER ST",
            "address_2": "SUITE A",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775363598",
            "telephone_number": "713-476-4600",
            "fax_number": "281-930-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CENTER ST",
            "address_2": "SUITE A",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775363598",
            "telephone_number": "713-476-4600",
            "fax_number": "281-930-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDLYCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-680-4600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All American Screening & Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deer Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.

Verify at the official NPI Registry.