Lodestar Diagnostic Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2074778 Issued in TX

Legal business name

LODESTAR DIAGNOSTIC LABORATORY, INC.

Practice address

11301 Fallbrook Dr Ste 108
Houston, TX 77065-4987

Phone

(713) 380-5818

NPI assigned

Apr 4, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Gitlin

Title

Owner

Phone

(713) 380-5818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1629496724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654987",
            "telephone_number": "713-380-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODESTAR DIAGNOSTIC LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "GITLIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-380-5818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2074778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Yater Lockwood, LPC
• Kirk Lockwood, PH.D
• Benicia Locure
• Robert F Lodato, M.D.
• Carlos Alberto Lodeiro Jordan
• Quincy Vincent Lodge, CRNA
• Saroosh Lodhi, RPH
• Heather Steffani Loebe, BCBA
• Franziska Loebel, MD
• Stephen M Loebl, DDS

• 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 Apr 4, 2014; 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.