Organization Active NPI

Urolithiasis Laboratory Inc

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1629080908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0997031MedicaidIA
XLAB01310MedicaidCA
32916900MedicaidWI
0421434MedicaidMT
1989312MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100611000044 TX Part B Supplier - Independent Clinical Laboratory 6406986819 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0660099Urolithiasis Laboratory,the9525 Katy Freeway, Suite 222, Houston, TX 77024ComplianceMar 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.