Individual provider Active NPI

Rose Udeh-Nwosuocha

  • Medical Laboratory Technician
  • Houston, TX
National Provider Identifier
1669894598
Registry record updated Jan 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
License
132883 Issued in TX
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

Updated by the provider on Jan 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
TN44801FLMDMedical Laboratory Technician
132883TXMDMedical Laboratory Technician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.