Active NPI
Ixi Wellness Houston LLC
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1891314381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- IXI WELLNESS HOUSTON LLC
- Practice address
- 10303 Northwest Fwy Ste 270
Houston, TX 77092-8299 - Phone
- (504) 957-6784
- NPI assigned
- Apr 14, 2020
- Last updated
- Oct 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darvis K Harvey
- Title
- Authorized Official
- Phone
- (504) 957-6784
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
10303 Northwest Fwy Ste 270
Houston, TX 77092-8299
Mailing address
3926 Barron St Ste C200
Metairie, LA 70002-5799
Phone (504) 957-6784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200520001077 | TX | Part B Supplier - Independent Clinical Laboratory | 5799116000 | Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- New Orleans, LA
- NPI 1215210208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1891314381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3926 BARRON ST STE C200",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025799",
"telephone_number": "504-957-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10303 NORTHWEST FWY STE 270",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770928299",
"telephone_number": "504-957-6784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IXI WELLNESS HOUSTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-14",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "DARVIS",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "504-957-6784"
},
"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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.