Organization Active NPI

Sureguard LLC

  • Clinical Medical Laboratory
  • Langley, WA
National Provider Identifier
1972242170
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUREGUARD LLC
Practice address
5391 Maxwelton Rd
Langley, WA 98260-9521
Phone
(866) 280-1543
NPI assigned
Jun 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Lee Brochstein
Title
Executive Director of Corporate Ops
Phone
(713) 703-8642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5391 Maxwelton Rd
Langley, WA 98260-9521

Mailing address

5391 Maxwelton Rd
Langley, WA 98260-9521
Phone (713) 703-8642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1972242170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5391 MAXWELTON RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609521",
            "telephone_number": "713-703-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5391 MAXWELTON RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609521",
            "telephone_number": "866-280-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUREGUARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "BROCHSTEIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CORPORATE OPS",
        "authorized_official_telephone_number": "713-703-8642"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.