Organization Active NPI

Wilkenfeld Medical Laboratories, I, LTD.

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1437296175
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WILKENFELD MEDICAL LABORATORIES, I, LTD.
Practice address
8830 Long Point Rd
Suite 104
Houston, TX 77055-3040
Phone
(713) 464-5326
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Jerome Stanley Wilkenfeld, M.D.
Title
Laboratory Manager
Phone
(713) 468-0738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X TX Primary

Addresses

Primary practice location

8830 Long Point Rd
Suite 104
Houston, TX 77055-3040

Mailing address

PO Box 800967
Houston, TX 77280-0967

Other identifiers 1

IdentifierTypeStateIssuer
CL0291OtherTXBCBS

Other names 1

  • Wilkenfeld Medical Laboratories, Inc. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1437296175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800967",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772800967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 LONG POINT RD",
            "address_2": "SUITE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553040",
            "telephone_number": "713-464-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKENFELD MEDICAL LABORATORIES, I, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "WILKENFELD",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "713-468-0738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CL0291",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkenfeld Medical Laboratories, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.