Active NPI
Rose Udeh-Nwosuocha
- Medical Laboratory Technician
- Houston, TX
National Provider Identifier
1669894598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- License
- 132883
- Practice address
- 16100 Cairnway Dr Ste 225
Houston, TX 77084-3500 - Phone
- (281) 861-0088
- Fax
- (281) 856-8997
- NPI assigned
- Jan 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | 132883 | TX | Primary |
| Medical Laboratory Technician | 246RM2200X | 5062 | TX | |
| Medical Laboratory Technician | 246RM2200X | TN44801 | FL |
Addresses
Primary practice location
16100 Cairnway Dr Ste 225
Houston, TX 77084-3500
Mailing address
4994 Highway 6 N Ste 104D
Houston, TX 77084-6902
Phone (281) 861-0088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN44801 | FL | MD | Medical Laboratory Technician |
| 132883 | TX | MD | Medical Laboratory Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neer Diagnostic Laboratory LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1558773622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389484800000",
"number": "1669894598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4994 HIGHWAY 6 N STE 104D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770846902",
"telephone_number": "281-861-0088",
"fax_number": "281-856-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 CAIRNWAY DR STE 225",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770843500",
"telephone_number": "281-861-0088",
"fax_number": "281-856-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDEH-NWOSUOCHA",
"first_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-12",
"last_updated": "2014-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "TX",
"license": "132883",
"primary": true
},
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "TX",
"license": "5062",
"primary": false
},
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "FL",
"license": "TN44801",
"primary": false
}
],
"identifiers": [],
"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 Jan 12, 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.