Theragene Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THERAGENE DIAGNOSTICS LLC

Practice address

7214 FM 1488 Rd Ste 107
Magnolia, TX 77354-2762

Phone

(281) 409-2522

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Cliff Bauer

Title

Owner

Phone

(704) 909-1040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1881218899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 FM 1488 RD STE 107",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 FM 1488 RD STE 107",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542762",
            "telephone_number": "281-409-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAGENE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-909-1040",
        "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.