Active NPI
Stamford Hospital District
- Clinical Medical Laboratory
- Stamford, TX
National Provider Identifier
1427678507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- STAMFORD HOSPITAL DISTRICT
- Doing business as
- STAMFORD DIAGNOSTIC SERVICES
- Practice address
- 1601 Columbia St
Stamford, TX 79553-6863 - Phone
- (325) 773-4805
- Fax
- (325) 773-4828
- NPI assigned
- Apr 20, 2020
- Organization subpart
- Yes
- Parent organization
- STAMFORD HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William R Lee
- Title
- Laboratory Director
- Phone
- (325) 773-4805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1601 Columbia St
Stamford, TX 79553-6863
Mailing address
PO Box 911
Stamford, TX 79553-0911
Phone (325) 773-4805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411366401 | Medicaid | TX |
Other names 1
- STAMFORD DIAGNOSTIC SERVICES
National Provider Directory
National Provider Directory- Part of
- Cheryl a Kelley MD
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1427678507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911",
"city": "STAMFORD",
"state": "TX",
"postal_code": "795530911",
"telephone_number": "325-773-4805",
"fax_number": "325-773-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 COLUMBIA ST",
"city": "STAMFORD",
"state": "TX",
"postal_code": "795536863",
"telephone_number": "325-773-4805",
"fax_number": "325-773-4828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAMFORD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STAMFORD HOSPITAL DISTRICT",
"enumeration_date": "2020-04-20",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "325-773-4805"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411366401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STAMFORD DIAGNOSTIC SERVICES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "STAMFORD DIAGNOSTIC SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Stamford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.