Organization Active NPI

Philco Inc

  • Clinical Medical Laboratory
  • Huntsville, TX
National Provider Identifier
1568632032
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
50104 Issued in TX
Legal business name
PHILCO INC
Practice address
1911 22ND St
Huntsville, TX 77340-4954
Phone
(936) 291-2414
Fax
(936) 438-8088
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Phillip L Allred, AUD
Title
Audiologist
Phone
(936) 291-2414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 50104 TX Primary

Addresses

Primary practice location

1911 22ND St
Huntsville, TX 77340-4954

Mailing address

PO Box 6073
Huntsville, TX 77342-6073
Phone (936) 291-2414

Other identifiers 1

IdentifierTypeStateIssuer
022377801MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1568632032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6073",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773426073",
            "telephone_number": "936-291-2414",
            "fax_number": "936-438-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 22ND ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404954",
            "telephone_number": "936-291-2414",
            "fax_number": "936-438-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "936-291-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "50104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022377801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.