Organization Active NPI

Pcltx LLC

Doing business as Providers Choice Laboratory

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1467066860
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PCLTX LLC
Doing business as
Providers Choice Laboratory
Practice address
8300 Cypress Creek Pkwy Ste 320
Houston, TX 77070-5643
Phone
(346) 374-0007
Fax
(346) 337-9911
NPI assigned
Sep 2, 2020
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Andrew Yeates
Title
Ceo
Phone
(346) 374-0007

Specialties & licenses 1

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

Addresses

Primary practice location

8300 Cypress Creek Pkwy Ste 320
Houston, TX 77070-5643

Mailing address

8300 Cypress Creek Pkwy Ste 320
Houston, TX 77070-5643

Other names 1

  • Providers Choice Laboratory Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201030000475 TX Part B Supplier - Independent Clinical Laboratory 9537579610 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2191901Providers Choice Laboratory8300 Cypress Creek Parkway Ste 320, Houston, TX 77070AccreditationNov 23, 2027

National Provider Directory

National Provider Directory

Locations

8300 Cypress Creek Pkwy
Ste 320
Houston, TX 77070
Phone (346) 374-0007

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1467066860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CYPRESS CREEK PKWY STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CYPRESS CREEK PKWY STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705643",
            "telephone_number": "346-374-0007",
            "fax_number": "346-337-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCLTX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "YEATES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-374-0007"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providers Choice Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providers Choice Laboratory",
            "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 Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.