Alphadera Labs,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALPHADERA LABS,LLC

Practice address

15355 Vantage Pkwy W Ste 195
Houston, TX 77032-1965

Phone

(832) 685-8500

Fax

(832) 532-6003

NPI assigned

Jun 19, 2018

Last updated

Jun 3, 2024By 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

Heindel Adu

Title

President

Phone

(832) 685-8500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1467946848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 VANTAGE PKWY W STE 195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770321965",
            "telephone_number": "832-685-8500",
            "fax_number": "832-532-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15355 VANTAGE PKWY W STE 195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770321965",
            "telephone_number": "832-685-8500",
            "fax_number": "832-532-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHADERA LABS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "ADU",
        "authorized_official_first_name": "HEINDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-685-8500"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 3, 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.