Active NPI
Calvary Med PA
- Clinical Medical Laboratory
- Humble, TX
National Provider Identifier
1912448903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- K5963
- Legal business name
- CALVARY MED PA
- Practice address
- 8484 Will Clayton Pkwy
Humble, TX 77338-5830 - Phone
- (832) 680-2273
- Fax
- (832) 995-5219
- NPI assigned
- Mar 10, 2017
- Organization subpart
- Yes
- Parent organization
- CALVARY MED PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Goin, M.D.
- Title
- Owner/Medical Director
- Phone
- (832) 680-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | K5963 | TX | Primary |
Addresses
Primary practice location
8484 Will Clayton Pkwy
Humble, TX 77338-5830
Mailing address
8484 Will Clayton Pkwy
Humble, TX 77338-5830
Phone (832) 680-2273
Other names 1
- Calvary Humble Lab
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0980081 | Calvary Medical Clinic | Certificate of waiver | Jun 11, 2027 |
National Provider Directory
National Provider Directory- Part of
- Calvary Med PA
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Legal Medicine
- Cleveland, TX
- NPI 1265568042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489104000000",
"number": "1912448903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8484 WILL CLAYTON PKWY",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385830",
"telephone_number": "832-680-2273",
"fax_number": "832-995-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8484 WILL CLAYTON PKWY",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385830",
"telephone_number": "832-680-2273",
"fax_number": "832-995-5219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALVARY MED PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CALVARY MED PA",
"enumeration_date": "2017-03-10",
"last_updated": "2017-03-10",
"status": "A",
"authorized_official_last_name": "GOIN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "832-680-2273",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": "K5963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Calvary Humble Lab",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.