Community Medical Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D1035724 Issued in TX

Legal business name

COMMUNITY MEDICAL LAB

Practice address

8300 Homestead Rd
Houston, TX 77028-2145

Phone

(713) 631-7425

Fax

(713) 631-2965

NPI assigned

May 9, 2006

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Fore

Title

Owner

Phone

(713) 631-7425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1932158623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282145",
            "telephone_number": "713-631-7425",
            "fax_number": "713-631-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282145",
            "telephone_number": "713-631-7425",
            "fax_number": "713-631-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FORE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-631-7425"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1035724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Medical Network Inc.
• Community Medical Supply Inc
• Community of Houston Pharmacy LLC
• Community of Houston Pharmacy, LLC
• Community Outreach and Development for Autism (Coda) LC

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.