Organization Active NPI

Calvary Med PA

  • Clinical Medical Laboratory
  • Humble, TX
National Provider Identifier
1912448903
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
K5963 Issued in TX
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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)CodeLicenseStatePrimary
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 Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0980081Calvary Medical Clinic8484 Will Clayton Pkwy, Humble, TX 77338Certificate of waiverJun 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.

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.

Verify at the official NPI Registry.