JSJ Wellness Diagnostic Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

JSJ WELLNESS DIAGNOSTIC LABORATORY

Practice address

7707 Fannin St Ste 205
Houston, TX 77054-1968

Phone

(832) 786-7009

Fax

(832) 831-1579

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Scott Stoeckel

Title

Managing Partner

Phone

(832) 786-7009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1952855256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541968",
            "telephone_number": "832-786-7009",
            "fax_number": "832-831-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541968",
            "telephone_number": "832-786-7009",
            "fax_number": "832-831-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSJ WELLNESS DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "STOECKEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "832-786-7009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 4, 2016; 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.