Southside Diagnostic Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHSIDE DIAGNOSTIC SERVICES, LLC

Practice address

9150 Main St Ste H
Houston, TX 77025-3848

Phone

(832) 553-1327

Fax

(713) 661-4828

NPI assigned

Aug 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Amit Jain

Title

Ceo

Phone

(713) 660-8888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1871840678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MAIN ST STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253848",
            "telephone_number": "832-553-1327",
            "fax_number": "713-661-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MAIN ST STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253848",
            "telephone_number": "832-553-1327",
            "fax_number": "713-661-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Main St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304456",
            "country_code": "US",
            "telephone_number": "832-553-1327",
            "fax_number": "713-661-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHSIDE DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-660-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southpoint EMS, LLC
• Southside Medical Transporation
• Southside Sleep Lab Management, LLC
• Southside Sleep Lab, LP
• Southside Wound Care Center LLC
• Southstar Clinical

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, 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 Mar 17, 2018; 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.