Organization Active NPI

Telezoe, LLC

  • Clinical Medical Laboratory
  • Addison, TX
National Provider Identifier
1487425492
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TELEZOE, LLC
Doing business as
Telos PGX
Practice address
4845 Keller Springs Rd
Addison, TX 75001-5912
Phone
(832) 932-5968
Fax
(281) 949-8599
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Blake Werner
Title
Director of Business Operations
Phone
(832) 549-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4845 Keller Springs Rd
Addison, TX 75001-5912

Mailing address

16840 Buccaneer LN Ste 261
Houston, TX 77058-2570
Phone (832) 932-5968

Other names 1

  • Telos PGX Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418000324 TX Part B Supplier - Independent Clinical Laboratory 1254770639 Practice locations: Addison, 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
45D2296801Telezoe, LLC Dba Telos PGX4845 Keller Springs Road, Addison, TX 75001AccreditationMar 10, 2027

National Provider Directory

National Provider Directory

Locations

4845 Keller Springs Rd
Addison, TX 75001
Phone (214) 272-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1487425492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE 261",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582570",
            "telephone_number": "832-932-5968",
            "fax_number": "281-949-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 KELLER SPRINGS RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015912",
            "telephone_number": "832-932-5968",
            "fax_number": "281-949-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEZOE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "832-549-8355"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telos PGX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Telos PGX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.