PETERSON DNA TESTING (NPI# 1568733004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568733004 |
| Entity Type | Organization |
| Organization Name | PETERSON DNA TESTING |
| Practice Address |
2620 Fountain View Dr 117 Houston TX 77057-7621 |
| Practice Telephone | 2818464577 |
| Mailing Telephone | 2818464577 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | KEILAN PETERSON (CEO) |
| Authorized Official Telephone | 2818464577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
2620 FOUNTAIN VIEW DR 117 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77057-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487688875 | Marcell D Glynn | Specialist | 2620 Fountain View Dr, Suite 485, Houston, TX 77057-7621 | 2006-07-10 |
| 1417182718 | Raymond Earl Haynes | Counselor | 2620 Fountain View Dr, Ste 115 C, Houston, TX 77057-7621 | 2009-05-16 |
| 1316103690 | White Lotus Acupuncture | Acupuncturist | 2620 Fountain View Dr, Suite 308, Houston, TX 77057-7621 | 2008-08-05 |
| 1013198688 | Donna S Guthery | Acupuncturist | 2620 Fountain View Dr, Suite 308, Houston, TX 77057-7621 | 2007-11-23 |
| 1013115351 | Doza Leondres Lowe | Counselor | 2620 Fountain View Dr, Suite 115c, Houston, TX 77057-7621 | 2007-07-09 |
| 1164641395 | Albino Nmn Buscemi | Massage Therapist | 2620 Fountain View Dr, Suite 240, Houston, TX 77057-7621 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096810 | Valencia Annik Payne | Registered Nurse | 5850 San Felipe Street Suite 500, Houston, TX 77057 | 2019-08-01 |
| 1144874884 | Birds Eye View Optometry Tanglewood Pllc | Optometrist | 5706 San Felipe St, Suite # B400, Houston, TX 77057 | 2019-07-31 |
| 1780168484 | Promidel Group LLC | Durable Medical Equipment & Medical Supplies | 5850 San Felipe Suite 500, Houston, TX 77057 | 2018-09-18 |
| 1750862074 | Express Rehab LLC | Clinic/Center | 6301 Richmond Ave Ste 110, Houston, TX 77057 | 2018-08-24 |
| 1902398258 | Serene Springs Health & Wellness Clinic | Nurse Practitioner | 6300 Richmond Ave Ste 202, Houston, TX 77057 | 2018-06-02 |
| 1063965978 | Crystal Adodo | Nurse Practitioner | 5749 San Felipe, Houston, TX 77057 | 2016-07-27 |
| 1639553266 | Nova Healthcare In LLC | Preventive Medicine | 2425 Fountain View Dr. Suite 160, Houston, TX 77057 | 2015-07-14 |
| 1134502941 | Audiology Partners of Texas, LLC | Hearing Aid Equipment | 5781 Woodway Dr, Houston, TX 77057 | 2015-06-30 |
| 1417348491 | Verimed Health and Medical Wellness Clinic, Inc | Specialist | 6363 Richmond Avenue Suite 278, Houston, TX 77057 | 2015-02-11 |
| 1740688076 | Candus Irby | Technician | 6363 Beverly Hill St Suite 8, Houston, TX 77057 | 2014-12-19 |
| Find all providers in zip 77057 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1982211892 | Epat Concierge Medicalis Services | Clinical Medical Laboratory | 16920 Kuykendahl Rd Ste 229, Houston, TX 77068-1636 | 2020-09-24 |
| 1821604505 | Elite Prolab Mobile Services | Clinical Medical Laboratory | 5600 Nw Central Dr Ste 280, Houston, TX 77092-2065 | 2020-09-18 |
| 1740894914 | New World Dx LLC | Clinical Medical Laboratory | 8285 El Rio St Ste 130, Houston, TX 77054-4654 | 2020-09-03 |
| 1972117349 | Well Health Labs, LLC | Clinical Medical Laboratory | 7557 South Fwy Ste 7557, Houston, TX 77021-5928 | 2020-09-03 |
| 1467066860 | Pcltx LLC | Clinical Medical Laboratory | 8300 Cypress Creek Pkwy Ste 320, Houston, TX 77070-5643 | 2020-09-02 |
| 1598378432 | Women's Health & Fitness Expo | Clinical Medical Laboratory | 2715 Skyview Downs Dr, Houston, TX 77047-6825 | 2020-08-29 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.