Organization Active NPI

Evolution Laboratory Services

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1902493513
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EVOLUTION LABORATORY SERVICES
Practice address
7010 Champions Plaza Dr Ste 150C
Houston, TX 77069-2396
Phone
(713) 628-8587
Fax
(281) 786-2089
NPI assigned
Dec 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Brynn Martinez
Title
Billing Manager
Phone
(832) 434-8523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7010 Champions Plaza Dr Ste 150C
Houston, TX 77069-2396

Mailing address

7010 Champions Plaza Dr Ste 150C
Houston, TX 77069-2396
Phone (713) 628-8587

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CollaborateMD Direct

National Provider Directory

National Provider Directory

Locations

7010 Champions Plaza Dr
Ste 150C
Houston, TX 77069
Phone (713) 628-8587

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1902493513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 CHAMPIONS PLAZA DR STE 150C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692396",
            "telephone_number": "713-628-8587",
            "fax_number": "281-786-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 CHAMPIONS PLAZA DR STE 150C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692396",
            "telephone_number": "713-628-8587",
            "fax_number": "281-786-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "BRYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "832-434-8523"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CollaborateMD",
            "affiliation": "N",
            "endpointDescription": "LIS Patient Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".pdf",
            "address_1": "7010 Champions Plaza Dr Ste 150C",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770692396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 29, 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.