KMSB Direct Diagnostics Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KMSB DIRECT DIAGNOSTICS INC

Practice address

1485 FM 1960 Bypass Rd E Ste 100
Humble, TX 77338-3965

Phone

(832) 419-4816

NPI assigned

Dec 30, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Cedeno

Title

Ceo

Phone

(832) 419-4816

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1558021642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 FM 1960 BYPASS RD E STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383965",
            "telephone_number": "832-419-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 FM 1960 BYPASS RD E STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383965",
            "telephone_number": "832-419-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMSB DIRECT DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "CEDENO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-419-4816"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Humble",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1485 Fm 1960 Bypass Rd E Ste 100",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773383965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Humble, TX
• Providers in Humble, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.