SSDX LLC

Primary specialty

Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X

Legal business name

SSDX LLC

Practice address

25814 Budde Rd Ste B1
Spring, TX 77380-4337

Phone

(713) 364-3708

NPI assigned

Jan 23, 2025

Organization subpart

No

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

Authorized official

Name

Luis Enrique Quintero

Title

Co-Owner

Phone

(713) 854-0525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1861204117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131752",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773931752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25814 BUDDE RD STE B1",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773804337",
            "telephone_number": "713-364-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "713-854-0525"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Molecular Genetic Pathology (Pathology) Physician in Spring, TX
• Providers in Spring, TX by specialty
• Molecular Genetic Pathology (Pathology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.