Active NPI
Ut Physicians
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1679758940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- UT PHYSICIANS
- Practice address
- 6411 Fannin St
Houston, TX 77030-1501 - Phone
- (713) 500-5301
- Fax
- (713) 500-0732
- NPI assigned
- Jan 7, 2008
- 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
- Robert Hunter, M.D.
- Title
- Chairman, Pathology Dept
- Phone
- (713) 500-5301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6411 Fannin St
Houston, TX 77030-1501
Mailing address
PO Box 200138
Houston, TX 77216-0138
Phone (713) 500-5301
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CQ2182 | Other | TX | RR MEDICARE |
| 025551501 | Medicaid | TX |
Other names 1
- UT PHYSICIANS-PATHOLOGY LAB
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255996800000",
"number": "1679758940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200138",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772160138",
"telephone_number": "713-500-5301",
"fax_number": "713-500-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-5301",
"fax_number": "713-500-0732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UT PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-07",
"last_updated": "2009-10-20",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHAIRMAN, PATHOLOGY DEPT",
"authorized_official_telephone_number": "713-500-5301",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CQ2182",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025551501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UT PHYSICIANS-PATHOLOGY LAB",
"code": "3",
"type": "Doing Business As"
}
]
}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 Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.