Elite Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D1061571 Issued in TX

Legal business name

ELITE CLINICAL LABORATORY LLC

Practice address

1917 Ashland St Ste 120
Houston, TX 77008-3907

Phone

(832) 485-7155

Fax

(832) 436-1739

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Michele Levy Poche

Title

Operations Coordinator

Phone

(832) 485-7155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1942503412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ST JAMES PL STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77056",
            "telephone_number": "832-485-7155",
            "fax_number": "832-436-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 ASHLAND ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083907",
            "telephone_number": "832-485-7155",
            "fax_number": "832-436-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "POCHE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEVY",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "832-485-7155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1061571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elite Care Medical Services Inc
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• Elite Clinical Laboratory, Inc
• Elite Clinical Laboratory, LLC
• Elite Clinical Partners LLC
• Elite Clinical Therapy LLC
• Elite Compliance & Logistics

• 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 Aug 27, 2012; 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.