Alliance DX LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALLIANCE DX LLC

Practice address

16115 Park Row Ste 190
Houston, TX 77084-5132

Phone

(346) 689-1155

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

John Gregg Gautereaux

Title

Owner/Partner

Phone

(480) 818-7598

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1467967745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PROSPECT ST STE 2",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "121573204",
            "telephone_number": "346-689-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16115 PARK ROW STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845132",
            "telephone_number": "346-689-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "GAUTEREAUX",
        "authorized_official_first_name": "JOHN GREGG",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "480-818-7598"
    },
    "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
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• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.