Organization Active NPI

Texas Clinical Lab

Doing business as Texas Clinic Lab

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1912654096
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TEXAS CLINICAL LAB
Doing business as
Texas Clinic Lab
Practice address
9888 Bissonnet St Ste 610
Houston, TX 77036-8298
Phone
(832) 677-8401
Fax
(346) 204-5927
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Mr. Anthony A. Sanami
Title
Owner
Phone
(832) 677-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9888 Bissonnet St Ste 610
Houston, TX 77036-8298

Mailing address

9888 Bissonnet St Ste 610
Houston, TX 77036-8298
Phone (832) 677-8401

Other names 1

  • Texas Clinic Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320001416 TX Part B Supplier - Independent Clinical Laboratory 0840664504 Practice locations: Houston, TX

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
45D2270281Texas Clinical Lab9888 Bissonnet Street, # 610, Houston, TX 77036Certificate of waiverFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

9888 Bissonnet St
Ste 610
Houston, TX 77036
Phone (832) 677-8401

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1912654096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368298",
            "telephone_number": "832-677-8401",
            "fax_number": "346-204-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST STE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368298",
            "telephone_number": "832-677-8401",
            "fax_number": "346-204-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CLINICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "SANAMI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-677-8401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Clinic Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.