Organization Active NPI

Medical Center Laboratories II, LTD.

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1962438291
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDICAL CENTER LABORATORIES II, LTD.
Practice address
2525 W Bellfort St
Ste. # 197
Houston, TX 77054-5000
Phone
(713) 661-8787
Fax
(713) 663-9218
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Mr. William McLucas
Title
General Partner/President
Phone
(713) 661-8787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D1052675 TX
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2525 W Bellfort St
Ste. # 197
Houston, TX 77054-5000

Mailing address

2525 West Bellfort
Ste 197
Houston, TX 77054
Phone (713) 661-8787

Other identifiers 1

IdentifierTypeStateIssuer
1813099-01MedicaidTX

Other names 1

  • Medical Center Laboratories Other name

National Provider Directory

National Provider Directory

Locations

2115 E Division St
Arlington, TX 76011
Phone (682) 888-0001

3201 Cherry Ridge Dr
Ste B201
San Antonio, TX 78230
Phone (210) 308-7222

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1962438291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WEST BELLFORT",
            "address_2": "STE 197",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-661-8787",
            "fax_number": "713-663-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BELLFORT ST",
            "address_2": "STE. # 197",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545000",
            "telephone_number": "713-661-8787",
            "fax_number": "713-663-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER LABORATORIES II, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "MCLUCAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "GENERAL PARTNER/PRESIDENT",
        "authorized_official_telephone_number": "713-661-8787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1052675",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1813099-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Laboratories",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 10, 2010; 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.