Biogen Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIOGEN LABS

Practice address

4007 Greenbriar Dr Ste E
Stafford, TX 77477-3923

Phone

(478) 501-3866

NPI assigned

Dec 16, 2020

Organization subpart

No

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

Authorized official

Name

Asra Ahmed

Title

Ceo

Phone

(478) 501-3866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1821684515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 GREENBRIAR DR STE E",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773923",
            "telephone_number": "478-501-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 GREENBRIAR DR STE E",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773923",
            "telephone_number": "478-501-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOGEN LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ASRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-501-3866"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Stafford, TX
• Providers in Stafford, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.