Imperium Health Resources, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMPERIUM HEALTH RESOURCES, LLC

Practice address

8821 Davis Blvd
Ste 100
Keller, TX 76248

Phone

(281) 806-9544

Fax

(877) 576-4230

NPI assigned

Sep 10, 2015

Last updated

Jan 30, 2017By 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

Stacy Crumpler

Title

Ceo

Phone

(682) 593-6262

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1841668654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 DAVIS BLVD",
            "address_2": "STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "682-593-6262",
            "fax_number": "877-576-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 DAVIS BLVD",
            "address_2": "STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "281-806-9544",
            "fax_number": "877-576-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIUM HEALTH RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "CRUMPLER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-593-6262"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2094568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Keller, TX
• Providers in Keller, 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 Jan 30, 2017; 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.