NPIMap

Organization Active NPI

Sam Houston Park Diagnostics, LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1750713053
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SAM HOUSTON PARK DIAGNOSTICS, LLC
Practice address
6201 Bonhomme Rd
434 S
Houston, TX 77036-4365
Phone
(713) 975-1151
Fax
(312) 256-9749
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Mr. Steve Molchanov
Title
Owner/President
Phone
(713) 975-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6201 Bonhomme Rd
434 S
Houston, TX 77036-4365

Mailing address

6201 Bonhomme Rd
434 S
Houston, TX 77036-4365
Phone (713) 975-1151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1750713053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD",
            "address_2": "434 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364365",
            "telephone_number": "713-975-1151",
            "fax_number": "312-256-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD",
            "address_2": "434 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364365",
            "telephone_number": "713-975-1151",
            "fax_number": "312-256-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM HOUSTON PARK DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "MOLCHANOV",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "713-975-1151",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Oct 25, 2013; 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.