Serenedraw Mobile Lab Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SERENEDRAW MOBILE LAB SERVICES

Practice address

12303 Brandenburg Gate Rd
Houston, TX 77047-2113

Phone

(202) 704-5227

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Quintel Lee

Title

Owner

Phone

(833) 737-3631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1851131544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 WESTPARK DR STE 149C1031",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577371",
            "telephone_number": "833-737-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 BRANDENBURG GATE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770472113",
            "telephone_number": "202-704-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENEDRAW MOBILE LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "QUINTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-737-3631"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.