Anantasai LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ANANTASAI LLC

Doing business as

Clinical Diagnostic Laboratory

Practice address

3519 Town Center Blvd S
Suite B
Sugar Land, TX 77479-1001

Phone

(832) 500-4250

Fax

(832) 500-4244

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kashif Khan

Title

Administrative

Phone

(832) 500-4250

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinical Diagnostic Laboratory Doing business as

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1861709917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 TOWN CENTER BLVD S",
            "address_2": "SUITE B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791001",
            "telephone_number": "832-500-4250",
            "fax_number": "832-500-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 TOWN CENTER BLVD S",
            "address_2": "SUITE B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791001",
            "telephone_number": "832-500-4250",
            "fax_number": "832-500-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANTASAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "832-500-4250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2838831-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Diagnostic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Sugar Land, TX
• Providers in Sugar Land, 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 25, 2013; 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.