Organization Active NPI

Ixi Wellness Dallas LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1457985251
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IXI WELLNESS DALLAS LLC
Practice address
10303 Northwest Fwy Ste 263
Houston, TX 77092-8299
Phone
(855) 239-3554
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
James Strader
Title
Owner
Phone
(512) 739-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10303 Northwest Fwy Ste 263
Houston, TX 77092-8299

Mailing address

10303 Northwest Fwy Ste 263
Houston, TX 77092-8299
Phone (855) 239-3554

Other names 1

  • Bio Testing Labs Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ixiwellness.com

National Provider Directory

National Provider Directory

Locations

10303 Northwest Fwy
Ste 263
Houston, TX 77092
Phone (855) 239-3554

140 Cypress Station Dr
Ste 120
Houston, TX 77090
Phone (817) 952-8600

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1457985251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 NORTHWEST FWY STE 263",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928299",
            "telephone_number": "855-239-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 NORTHWEST FWY STE 263",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928299",
            "telephone_number": "855-239-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IXI WELLNESS DALLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "STRADER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-739-9199"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ixiwellness.com",
            "affiliation": "N",
            "endpointDescription": "Secure Website",
            "address_1": "10303 Northwest Fwy Ste 263",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770928299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bio Testing Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bio Testing Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.