Organization Active NPI

Pro Diagnostic Inc.

  • Clinical Medical Laboratory
  • Stafford, TX
National Provider Identifier
1902099567
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRO DIAGNOSTIC INC.
Practice address
4111 Greenbriar Dr
Suite D
Stafford, TX 77477-3940
Phone
(713) 723-6325
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Abbas Ali Khan, HT
Title
President
Phone
(713) 723-6325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4111 Greenbriar Dr
Suite D
Stafford, TX 77477-3940

Mailing address

4111 Greenbriar Dr
Suite D
Stafford, TX 77477-3940
Phone (713) 723-6325

National Provider Directory

National Provider Directory

Locations

4111 Greenbriar Dr
Ste D
Stafford, TX 77477
Phone (713) 723-6325

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1902099567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 GREENBRIAR DR",
            "address_2": "SUITE D",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773940",
            "telephone_number": "713-723-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 GREENBRIAR DR",
            "address_2": "SUITE D",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773940",
            "telephone_number": "713-723-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-723-6325",
        "authorized_official_credential": "HT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.