Active NPI
Medical Center Laboratories II, LTD.
- Clinical Medical Laboratory
- Houston, TX
National Provider Identifier
1962438291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1813099-01 | Medicaid | TX |
Other names 1
- Medical Center Laboratories
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.