Organization Active NPI

Bernstein Associated Management,LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1790848968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45DO970553 Issued in TX
Legal business name
BERNSTEIN ASSOCIATED MANAGEMENT,LLC
Doing business as
Lockwood Medical Laboratory
Practice address
4315 Lockwood Drive
Houston, TX 77026-4117
Phone
(713) 670-0975
Fax
(713) 670-0998
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bennie Ferrell Rucker, PHD
Title
Director
Phone
(713) 670-0975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45DO970553 TX Primary

Addresses

Primary practice location

4315 Lockwood Drive
Houston, TX 77026-4117

Mailing address

4315 Lockwood Dr
Houston, TX 77026-4117
Phone (713) 670-0975

Other identifiers 2

IdentifierTypeStateIssuer
CLIA 45DO970553OtherTXMEDICAL LOBORATORY
LOCL84288MedicaidTX

Other names 1

  • Lockwood Medical Laboratory Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790848968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 LOCKWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770264117",
            "telephone_number": "713-670-0975",
            "fax_number": "713-670-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 LOCKWOOD DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770264117",
            "telephone_number": "713-670-0975",
            "fax_number": "713-670-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNSTEIN ASSOCIATED MANAGEMENT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_middle_name": "FERRELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-670-0975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45DO970553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LOBORATORY",
            "identifier": "CLIA 45DO970553",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LOCL84288",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lockwood Medical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.