Active NPI
Urolithiasis Laboratory Inc
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1629080908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- UROLITHIASIS LABORATORY INC
- Practice address
- 9525 Katy Fwy
Suite 222
Houston, TX 77024-1407 - Phone
- (713) 464-4333
- Fax
- (713) 464-6546
- NPI assigned
- Aug 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chris Clinton
- Title
- Laboratory Manager
- Phone
- (713) 464-8312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | TX | Primary |
Addresses
Primary practice location
9525 Katy Fwy
Suite 222
Houston, TX 77024-1407
Mailing address
9525 Katy Fwy
Suite 222
Houston, TX 77024-1407
Phone (713) 464-4333
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0997031 | Medicaid | IA | |
| XLAB01310 | Medicaid | CA | |
| 32916900 | Medicaid | WI | |
| 0421434 | Medicaid | MT | |
| 1989312 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100611000044 | TX | Part B Supplier - Independent Clinical Laboratory | 6406986819 | Practice locations: Houston, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0660099 | Urolithiasis Laboratory,the | Compliance | Mar 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
PO Bx 200291
Houston, TX 77216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629080908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9525 KATY FWY",
"address_2": "SUITE 222",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241407",
"telephone_number": "713-464-4333",
"fax_number": "713-464-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9525 KATY FWY",
"address_2": "SUITE 222",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241407",
"telephone_number": "713-464-4333",
"fax_number": "713-464-6546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLITHIASIS LABORATORY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLINTON",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "LABORATORY MANAGER",
"authorized_official_telephone_number": "713-464-8312",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0997031",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XLAB01310",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32916900",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0421434",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1989312",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.