Organization Active NPI

Baylor College of Medicine, Medical Genetics Labs

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1770635864
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BAYLOR COLLEGE OF MEDICINE, MEDICAL GENETICS LABS
Practice address
1 Baylor PLZ
Ms: Nab 2015, Room 0280C
Houston, TX 77030-3411
Phone
(713) 798-3295
Fax
(713) 798-4187
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Prof. Christine M Eng, M.D.
Title
Executive Laboratory Director
Phone
(713) 798-6555

Specialties & licenses 1

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

Addresses

Primary practice location

1 Baylor PLZ
Ms: Nab 2015, Room 0280C
Houston, TX 77030-3411

Mailing address

PO Box 4832
Houston, TX 77210-4832
Phone (713) 798-3295

Other identifiers 4

IdentifierTypeStateIssuer
45D0660090OtherCLIA
0000CL0582OtherBLUE CROSS BLUE SHIELD
21093-14OtherCAP
2821183MedicaidTX

Other names 1

  • Baylor Genetics Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1 Baylor Plz
Rm 280C
Houston, TX 77030
Phone (713) 798-3295

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1770635864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4832",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104832",
            "telephone_number": "713-798-3295",
            "fax_number": "713-798-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "address_2": "MS: NAB 2015, ROOM 0280C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-3295",
            "fax_number": "713-798-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COLLEGE OF MEDICINE, MEDICAL GENETICS LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "713-798-6555",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0660090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000CL0582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "21093-14",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2821183",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Genetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 10, 2014; 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.