Active NPI
Bluepeak Diagnostic LLC
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1962347740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BLUEPEAK DIAGNOSTIC LLC
- Practice address
- 12715 Woodforest Blvd
Houston, TX 77015-2737 - Phone
- (240) 207-8382
- NPI assigned
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zia Ur Rehman, MLT
- Title
- Director
- Phone
- (240) 207-8382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
12715 Woodforest Blvd
Houston, TX 77015-2737
Mailing address
9414 117TH St
South Richmond Hill, NY 11419-1202
Phone (240) 207-8382
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2342880 | Bluepeak Diagnostic LLC | Certificate of waiver | Apr 27, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Bluepeak Diagnostic LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Woodlawn, MD
- NPI 1902742182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1962347740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9414 117TH ST",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191202",
"telephone_number": "240-207-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12715 WOODFOREST BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770152737",
"telephone_number": "240-207-8382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEPEAK DIAGNOSTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "REHMAN",
"authorized_official_first_name": "ZIA",
"authorized_official_middle_name": "UR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "240-207-8382",
"authorized_official_credential": "MLT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 23, 2026; 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.