Organization Active NPI

Principle Genetics LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1740726983
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D2123176 Issued in TX
Legal business name
PRINCIPLE GENETICS LLC
Practice address
16840 Buccaneer LN
Suite 5
Houston, TX 77058-2507
Phone
(832) 549-8355
NPI assigned
Jan 11, 2017
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Blake Werner
Title
Manager
Phone
(832) 549-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D2123176 TX Primary

Addresses

Primary practice location

16840 Buccaneer LN
Suite 5
Houston, TX 77058-2507

Mailing address

16840 Buccaneer LN
Suite 5
Houston, TX 77058-2507
Phone (832) 549-8355

National Provider Directory

National Provider Directory

Locations

16840 Buccaneer Ln
Ste 5
Houston, TX 77058
Phone (832) 549-8355

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1740726983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN",
            "address_2": "SUITE 5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582507",
            "telephone_number": "832-549-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN",
            "address_2": "SUITE 5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582507",
            "telephone_number": "832-549-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLE GENETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-549-8355"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2123176",
            "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 Jan 11, 2017; 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.