Organization Active NPI

Edgehealth Laboratories LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1720970445
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EDGEHEALTH LABORATORIES LLC
Practice address
7066 Lakeview Haven Dr Ste 100
Houston, TX 77095-2560
Phone
(214) 603-4872
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Ashok Kumar Chittibomma
Title
Owner
Phone
(214) 603-4872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7066 Lakeview Haven Dr Ste 100
Houston, TX 77095-2560

Mailing address

7066 Lakeview Haven Dr Ste 100
Houston, TX 77095-2560

National Provider Directory

National Provider Directory

Locations

7066 Lakeview Haven Dr
Ste 100
Houston, TX 77095
Phone (214) 603-4872

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1720970445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7066 LAKEVIEW HAVEN DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7066 LAKEVIEW HAVEN DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952560",
            "telephone_number": "214-603-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEHEALTH LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "CHITTIBOMMA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-603-4872"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 25, 2025; 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.