City Clinical Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CITY CLINICAL LAB

Practice address

6300 Hillcroft Ave
Suite 100 B
Houston, TX 77081-3005

Phone

(718) 484-8708

Fax

(713) 484-8799

NPI assigned

Aug 28, 2007

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Akhigbe Sanami, BS CHEMISTRY

Title

Lab.Manager/Ceo

Phone

(713) 771-9994

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1710171384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HILLCROFT AVE",
            "address_2": "SUITE 100 B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813005",
            "telephone_number": "713-771-9994",
            "fax_number": "713-771-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HILLCROFT AVE",
            "address_2": "SUITE 100 B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813005",
            "telephone_number": "718-484-8708",
            "fax_number": "713-484-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CLINICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "SANAMI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "AKHIGBE",
        "authorized_official_title_or_position": "LAB.MANAGER/CEO",
        "authorized_official_telephone_number": "713-771-9994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS CHEMISTRY"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1044915",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177274101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP NO.",
            "identifier": "01175282",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• City East Medical, P.a.
• City Genomics Inc
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• 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 Sep 29, 2010; 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.