Central Clinical Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2052244 Issued in TX

Legal business name

CENTRAL CLINICAL LABORATORIES LLC

Doing business as

Central Clinical Laboratories

Practice address

1322 Space Park Dr
Suite A195
Houston, TX 77058-3400

Phone

(913) 547-1619

Fax

(888) 355-5137

NPI assigned

Jun 24, 2013

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL CLINICAL LABORATORIES LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Abby Raney

Title

VP/Operations

Phone

(913) 547-1619

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CENTRAL CLINICAL LABORATORIES Doing business as

Part of

Central Clinical Laboratories Inc

Locations

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1538508551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 SPACE PARK DR",
            "address_2": "SUITE A195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583400",
            "telephone_number": "913-547-1619",
            "fax_number": "888-355-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 SPACE PARK DR",
            "address_2": "SUITE A195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583400",
            "telephone_number": "913-547-1619",
            "fax_number": "888-355-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CLINICAL LABORATORIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL CLINICAL LABORATORIES LLC",
        "enumeration_date": "2013-06-24",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "VP/OPERATIONS",
        "authorized_official_telephone_number": "913-547-1619",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2052244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2052244",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL CLINICAL LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centra Clinic, Inc
• Centra One Dental
• Centra One Dental PA (Centra Dental)
• Centra Rehab & Therapeutic Services
• Central Care Integrated Health Services
• Central EMS Inc
• Central EMS Inc
• Central EMS Inc
• Central EMS Inc.
• Central Eye Associates, P.a. (Eye Trends)

• 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 Sep 14, 2016; 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.