NPIMap

Organization Active NPI

Texas Health Lab LLC

  • Clinical Medical Laboratory
  • Beaumont, TX
National Provider Identifier
1538799739
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TEXAS HEALTH LAB LLC
Practice address
755 S 11TH St
Beaumont, TX 77701-3732
Phone
(832) 403-9531
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Jonshae Chavalier-Wilson
Title
Owner
Phone
(832) 403-9531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

755 S 11TH St
Beaumont, TX 77701-3732

Mailing address

PO Box 670391
Houston, TX 77267-0391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1538799739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670391",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772670391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013732",
            "telephone_number": "832-403-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "CHAVALIER-WILSON",
        "authorized_official_first_name": "JONSHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-403-9531"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.