Soma Labs, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOMA LABS, LLC

Practice address

4227 S Main St Ste 13
Stafford, TX 77477-5309

Phone

(281) 208-7229

Fax

(281) 377-1390

NPI assigned

Apr 23, 2024

Organization subpart

Yes

Parent organization

SOMA LABAs reported in NPPES

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

Authorized official

Name

Dr. Ajay Abraham, D.C.

Title

Clinical Director

Phone

(281) 208-7229

Specialties & licenses 1

Addresses

Other names 1

• Soma Lab Doing business as

Part of

Soma Labs LLC

Locations

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1861247702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 S MAIN ST STE 13",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775309",
            "telephone_number": "281-208-7229",
            "fax_number": "281-377-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 S MAIN ST STE 13",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775309",
            "telephone_number": "281-208-7229",
            "fax_number": "281-377-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA LABS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMA LAB",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "281-208-7229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soma Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Stafford, TX
• Providers in Stafford, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.