Active NPI
Telezoe, LLC
- Clinical Medical Laboratory
- Addison, TX
National Provider Identifier
1487425492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240418000324 | TX | Part B Supplier - Independent Clinical Laboratory | 1254770639 | Practice locations: Addison, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2296801 | Telezoe, LLC Dba Telos PGX | Accreditation | Mar 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Laboratory Director (Non-physician)
- Watauga, TX
- NPI 1164182382
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.