Bio Choice Laboratory, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2135859 Issued in TX

Legal business name

BIO CHOICE LABORATORY, INC

Doing business as

US Genomix

Practice address

7505 Fannin St Ste 333
Houston, TX 77054-1954

Phone

(713) 485-4450

Fax

(713) 485-0210

NPI assigned

Sep 12, 2017

Last updated

Apr 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mini Vetticadan, OWNERNPI 1477079556

Title

Owner

Phone

(832) 746-9758

Specialties & licenses 2

Addresses

Other names 1

• US Genomix Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mini Vetticadan, MLS (ASCP)

  • Medical Laboratory Technician
  • Corpus Christi, TX
  • NPI 1477079556
  NPD Authorized official

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1831618768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 FANNIN ST STE 333",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541954",
            "telephone_number": "713-485-4450",
            "fax_number": "713-485-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 FANNIN ST STE 333",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541954",
            "telephone_number": "713-485-4450",
            "fax_number": "713-485-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO CHOICE LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "VETTICADAN",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-746-9758",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2135859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Genomix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, 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 Apr 23, 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.