Active NPI
Bernstein Associated Management,LLC
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1790848968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 45DO970553
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLIA 45DO970553 | Other | TX | MEDICAL LOBORATORY |
| LOCL84288 | Medicaid | TX |
Other names 1
- Lockwood Medical Laboratory
National Provider Directory
National Provider DirectoryNPI 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.