Ez-Lab-Test

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2041509 Issued in TX

Legal business name

EZ-LAB-TEST

Practice address

6633 Hillcroft St
Suite#261
Houston, TX 77081-4887

Phone

(281) 975-8601

Fax

(713) 370-2260

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Alfredo A Gonzales

Title

Owner

Phone

(281) 975-8601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1417219130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 HILLCROFT",
            "address_2": "SUITE#261",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814888",
            "telephone_number": "281-975-8601",
            "fax_number": "713-370-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 HILLCROFT ST",
            "address_2": "SUITE#261",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814887",
            "telephone_number": "281-975-8601",
            "fax_number": "713-370-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ-LAB-TEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-975-8601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2041509",
            "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 5, 2012; 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.