Captiva Lab of Texas, LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CAPTIVA LAB OF TEXAS, LLC.

Practice address

10110 W Sam Houston Pkwy S Ste 110
Houston, TX 77099-5153

Phone

(754) 209-1013

Fax

(954) 272-7924

NPI assigned

Dec 20, 2016

Organization subpart

No

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

Authorized official

Name

Kevin Singer

Title

Ceo

Phone

(754) 209-1013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1386189702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 HARRISON ST STE 605",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207829",
            "telephone_number": "754-209-1013",
            "fax_number": "954-272-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 W SAM HOUSTON PKWY S STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770995153",
            "telephone_number": "754-209-1013",
            "fax_number": "954-272-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTIVA LAB OF TEXAS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-209-1013"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.