NPIMap

Organization Active NPI

Westside Surgical Hospital, LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1841785292
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WESTSIDE SURGICAL HOSPITAL, LLC
Doing business as
Westside Surgical Hospital - Laboratory
Practice address
4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone
(713) 621-5010
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Omar Kiggundu
Title
Vice President
Phone
(713) 660-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4200 Twelve Oaks Dr
Houston, TX 77027-6812

Mailing address

5120 Woodway Dr Ste 7012
Houston, TX 77056-1791
Phone (713) 660-1700

Other names 1

  • Westside Surgical Hospital - Laboratory Doing business as

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
45D2176669Ad Hospital East, LLC Dba River Oaks Hospital &4200 Twelve Oaks PL, Houston, TX 77027AccreditationJun 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Westside Surgical Hospital LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1841785292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WOODWAY DR STE 7012",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561791",
            "telephone_number": "713-660-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TWELVE OAKS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276812",
            "telephone_number": "713-621-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "KIGGUNDU",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-660-1711"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Surgical Hospital - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Surgical Hospital - 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 Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.