Dback 5

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DBACK 5

Doing business as

Prestige Laboratory

Practice address

5503 Morton Rd
Katy, TX 77493-1338

Phone

(956) 782-6200

Fax

(956) 782-6202

NPI assigned

Jun 25, 2009

Organization subpart

Yes

Parent organization

PRESTIGE LABORATORYAs reported in NPPES

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

Authorized official

Name

Franklin Beltre, D.P.M.

Title

Ceo

Phone

(956) 782-6200

Specialties & licenses 1

Addresses

Other names 1

• PRESTIGE LABORATORY Doing business as

Part of

Dback 5

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prestige Laboratory, LLC

  dba Prestige Laboratory

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1699001388
  NPPES parent name

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1477781748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-782-6200",
            "fax_number": "956-782-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 MORTON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931338",
            "telephone_number": "956-782-6200",
            "fax_number": "956-782-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBACK 5",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTIGE LABORATORY",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "BELTRE",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-782-6200",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTIGE LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelley Dawson, M.A., LPC-INTERN
• Day Star Home Care LLC
• Taylor Day
• Texanna Day
• Daystar Family Medical Clinic, Inc (Daystar Family Clinic)
• Dcoa Physicians PA (Diabetes America)
• DCTX Katy Associates, PLLC (Dental Center of Texas)
• DDP Trust (The Healing Center)
• Lisa De Benedet, ACNP-BC
• Arnaud Marc De Buyl, D.D.S.

• Clinical Medical Laboratory in Katy, TX
• Providers in Katy, 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 25, 2009; 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.