Organization Active NPI

Bluepeak Diagnostic LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1962347740
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Apr 23, 2026

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)CodeLicenseStatePrimary
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 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
45D2342880Bluepeak Diagnostic LLC12715 Woodforest Blvd, Houston, TX 77015Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bluepeak Diagnostic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.