Bambu Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BAMBU LABORATORY LLC

Practice address

12254 Queenston Blvd Ste H
Houston, TX 77095-5357

Phone

(346) 756-8110

Fax

(346) 756-8111

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Irfan Mirza

Title

Owner

Phone

(346) 756-8110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1578375986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12254 QUEENSTON BLVD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955357",
            "telephone_number": "346-756-8110",
            "fax_number": "346-756-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12254 QUEENSTON BLVD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955357",
            "telephone_number": "346-756-8110",
            "fax_number": "346-756-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBU LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-756-8110"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Patrick Baltz, MD
• Anthony R Balzer, MD
• Bamal Solutions LLC
• Karis Dianadra Makoko Bamba, MD
• Bambino Healthcare Services
• Mohd Bamieh
• Zacchaeus Bamijoko
• Mutiat Bamiloshin, RN
• Elizabeth Bamimore
• Bammel Dental, P.C.

• 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 Jan 22, 2025; 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.