Active NPI
Baylor College of Medicine, Medical Genetics Labs
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1770635864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D0660090 | Other | CLIA | |
| 0000CL0582 | Other | BLUE CROSS BLUE SHIELD | |
| 21093-14 | Other | CAP | |
| 2821183 | Medicaid | TX |
Other names 1
- Baylor Genetics
National Provider Directory
National Provider DirectoryMember 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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1649350067
-
- Clinical Genetics (M.D.) Physician
- Houston, TX
- NPI 1063592483
-
- Clinical Genetics (M.D.) Physician
- Houston, TX
- NPI 1518047943
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1740296946
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"
}
]
}
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- Baylor Cullen Teen Health
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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.