Organization Active NPI

Bioexcel Diagnostics

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1992390959
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIOEXCEL DIAGNOSTICS
Practice address
2636 S Loop W Ste 110
Houston, TX 77054-2680
Phone
(832) 425-5042
NPI assigned
Mar 2, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Mehdi Dehghani, PH.D.
Title
Lab Director
Phone
(832) 425-5042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2636 S Loop W Ste 110
Houston, TX 77054-2680

Mailing address

2636 S Loop W Ste 110
Houston, TX 77054-2680
Phone (832) 425-5042

Other names 2

  • BioExcel Diagnostics Other name
  • BioExcel Diagnostics, LLC Other name

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
45D2209518Bioexcel Diagnostics, LLC2636 South Loop Freeway West Suite 110, Houston, TX 77054AccreditationFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

2636 S Loop W
Ste 110
Houston, TX 77054
Phone (832) 425-5042

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1992390959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542680",
            "telephone_number": "832-425-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542680",
            "telephone_number": "832-425-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOEXCEL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "DEHGHANI",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "832-425-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioExcel Diagnostics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BioExcel Diagnostics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BioExcel Diagnostics, LLC",
            "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 Jul 14, 2021; 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.