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, NPI 1063414258

Physiological Laboratory in HOUSTON, TX

Last Updated on : May 30,2023

 , NPI 1063414258

About (NPI 1063414258)


is a Physiological Laboratory in HOUSTON, United States .

1063414258 is NPI number of .

's primary taxonomy code based on NPI Lookup is 293D00000X with license number . This taxonomy code refers to Physiological Laboratory.

current practice location address is 1717 N SAM HOUSTON PKWY W STE 100, HOUSTON, TX. can be reached out via phone at 281-760-0500 and via fax at 866-747-4799 .

You can also correspond with through mail at mailing address 1717 N SAM HOUSTON PKWY W STE 100, HOUSTON, TX, United States. Mailing address contact number is 281-760-0500.

The enumeration date of is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 1 years ago.

The authorized official of is TONY FIOLA (Chief Executive Officer). TONY FIOLA can be reached at 6512604411.

1063414258 NPI Information

Basic NPI information of (NPI 1063414258) is provided below.

Name
National Provider Id (NPI) 1063414258
Entity Type Organization
Practice Address 1717 N SAM HOUSTON PKWY W STE 100,
HOUSTON, TX, United States
Practice Telephone 281-760-0500
Practice Fax Number 866-747-4799
Mailing Address 1717 N SAM HOUSTON PKWY W STE 100 ,
HOUSTON, TX, United States
Mailing Telephone 281-760-0500
Mailing Fax Number 866-747-4799
Enumeration Date 01-Jun-2005
Last Updated Date 30-May-2023

(NPI 1063414258) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 293D00000X Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
009999 Other (non-Medicare) (01) TX BCBS provider number
172529301 MEDICAID (05) TX
7410317 Other (non-Medicare) (01) Mamsi Provider #

(NPI 1063414258) Office Location

Office location of is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1215278866 /ADL ADULT DAY CENTER LLC Clinic/Center, Adult Day Care 838 ROYAL GEORGE LN,
HOUSTON, TX, United States
06-Mar-2013
1114572344 0-HASSLE PERSONAL CARE SERVICES LLC Home Health 3702 1/2 BROYLES STREET,
HOUSTON, TX, United States
05-Aug-2019
1154353647 03 INVESTMENTS, INC. Durable Medical Equipment & Medical Supplies, Customized Equipment 18227 AMMI TRL, ATTN: RHONDA MILLER
HOUSTON, TX, United States
07-Jul-2006
1871930826 1 AFFINITY HEALTHCARE SERVICES INC Home Health 6220 WESTPARK DRIVE SUIT #245F,
HOUSTON, TX, United States
31-May-2013
1285253856 1 CARE PREMIER SERVICES LLC Residential Treatment Facility, Intellectual and/or Developmental Disabilities 340 N SAM HOUSTON PKWY E STE A247,
HOUSTON, TX, United States
13-Apr-2020
1568703007 1 E.C.M SERVICES,LLC Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PO BOX 331355,
HOUSTON, TX, United States
08-Mar-2013
1013261015 1 ON 1 KF HOMES INC. Day Training, Developmentally Disabled Services 9888 BISSONNET ST STE 350,
HOUSTON, TX, United States
30-Oct-2012
1235431164 1 STOP CLINIC Family Medicine 8303 GULF FWY, SUITE 100
HOUSTON, TX, United States
29-Nov-2010
1215328893 1 STOP HEALTH CARE SERVICES, LLC Home Health 12000 RICHMOND AVE STE 208,
HOUSTON, TX, United States
18-Feb-2015
1316309339 1 STOP RECOVERY, INC. Clinic/Center, Rehabilitation, Substance Use Disorder 4141 NORTH FWY, STE. 310
HOUSTON, TX, United States
29-Mar-2016
1225783970 100 CHIRO LIVINGOOD LOUETTA PLLC Chiropractor 10123 LOUETTA RD STE 200,
HOUSTON, TX, United States
21-Feb-2022
1205431236 100 PERCENT CHIROPRACTIC LIVINGOOD TX PLLC Chiropractor 30129 ROCK CREEK DR STE 1000,
KINGWOOD, TX, United States
30-Nov-2020
1699248419 101 R LLC 9000 SOUTHWEST FWY STE 204,
HOUSTON, TX, United States
03-Jan-2019
1972384469 106BH LLC 1034 REGIONAL PARK DR,
HOUSTON, TX, United States
10-Oct-2023
1033575840 113015 THERAPY, PLLC Pediatrics, Neurodevelopmental Disabilities 8323 SOUTHWEST FWY, SUITE 101
HOUSTON, TX, United States
08-Jan-2016
1548437924 1140 WESTMONT PHYSICAL THERAPY AND REHABILITATION SERVICES Clinic/Center, Physical Therapy 1140 WESTMONT DR, SUITE 530
HOUSTON, TX, United States
14-May-2008
1225373491 1212 SENIOR CARE, INC In Home Supportive Care 321 GRAND RANCH LN,
FRIENDSWOOD, TX, United States
29-Nov-2012
1528353935 1212 SENIOR CARE, INC. In Home Supportive Care PO BOX 84290,
PEARLAND, TX, United States
14-Jun-2011
1629589593 123 MOBILITY EXPRESS Durable Medical Equipment & Medical Supplies 6250 WESTPARK DR STE 304,
HOUSTON, TX, United States
19-Oct-2017
1265954838 18 AND BEYOND SPECIAL SERVICES; LLC Day Training, Developmentally Disabled Services 10200 W AIRPORT BLVD STE 100,
STAFFORD, TX, United States
14-Jul-2017

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1063414258?

1063414258 is the NPI number of .

Where is located?

is located at 1717 N SAM HOUSTON PKWY W STE 100, HOUSTON, TX.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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