Precision Molecular Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2111127 Issued in TX

Legal business name

PRECISION MOLECULAR LABS, LLC

Practice address

11240 FM 1960 Rd W
Suite 402
Houston, TX 77065-3662

Phone

(832) 478-9926

NPI assigned

May 2, 2016

Last updated

May 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenny Ozoude

Title

President

Phone

(832) 483-8124

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1417302035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SOUTHWEST FWY",
            "address_2": "SUITE 390",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 FM 1960 RD W",
            "address_2": "SUITE 402",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653662",
            "telephone_number": "832-478-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MOLECULAR LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "OZOUDE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-483-8124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2111127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2111127",
            "state": "TX"
        }
    ],
    "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 May 2, 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.