Organization Active NPI

Damavand Clinical Laboratory LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1801747977
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DAMAVAND CLINICAL LABORATORY LLC
Practice address
1011 Highway 6 S Ste 314
Houston, TX 77077-1040
Phone
(281) 845-3383
Fax
(281) 845-3383
NPI assigned
Feb 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Mehran Haidari
Title
Owner
Phone
(281) 845-3383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1011 Highway 6 S Ste 314
Houston, TX 77077-1040

Mailing address

1011 Highway 6 S Ste 314
Houston, TX 77077-1040
Phone (281) 845-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260406002151 TX Part B Supplier - Independent Clinical Laboratory 0941775159 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2338832Damavand Clinical Laboratory1011 Highway 6 South, Suite 314, Houston, TX 77077RegistrationFeb 17, 2028

National Provider Directory

National Provider Directory

Locations

1011 Highway 6 S
Ste 314
Houston, TX 77077
Phone (281) 498-4673

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1801747977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HIGHWAY 6 S STE 314",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771040",
            "telephone_number": "281-845-3383",
            "fax_number": "281-845-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HIGHWAY 6 S STE 314",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771040",
            "telephone_number": "281-845-3383",
            "fax_number": "281-845-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMAVAND CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "HAIDARI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-845-3383"
    },
    "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 Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.