NPIMap

Organization Active NPI

Miles Prolab, LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1871240291
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MILES PROLAB, LLC
Practice address
12430 Oxford Park Dr Apt 516
Houston, TX 77082-2576
Phone
(313) 525-6366
NPI assigned
Mar 5, 2022
Last updated
Mar 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Authorized official

Name
Tatum Miles, DDSNPI 1417474321
Title
Owner
Phone
(313) 525-6366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12430 Oxford Park Dr Apt 516
Houston, TX 77082-2576

Mailing address

12430 Oxford Park Dr Apt 516
Houston, TX 77082-2576
Phone (313) 525-6366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1871240291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12430 OXFORD PARK DR APT 516",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822576",
            "telephone_number": "313-525-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12430 OXFORD PARK DR APT 516",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822576",
            "telephone_number": "313-525-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES PROLAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "TATUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-525-6366",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 5, 2022; 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.