SPACE CITY LABORATORIES (NPI# 1629613922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629613922 |
| Entity Type | Organization |
| Organization Name | SPACE CITY LABORATORIES |
| Practice Address |
16753 Donwick Dr Ste A6 Conroe TX 77385-3675 |
| Mailing Address |
Po Box 2045 Sugar Land TX 77487-2045 |
| Practice Telephone | 2812355842 |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | MOHAMMAD USMAN AIJAZ (GENERAL PARTNER) |
| Authorized Official Telephone | 2812355842 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
16753 DONWICK DR STE A6 |
| City | CONROE |
| State | TX |
| Zip Code | 77385-3675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
| 1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
| 1104462753 | Over The Moon Pediatrics, Pllc | Pediatrics | 17189 I-45 South, Suite 235, The Woodlands, TX 77385 | 2019-11-19 |
| 1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
| Find all providers in zip 77385 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1629578166 | Scientific Marketing Instrumentation and Laboratory Inc. | Clinical Medical Laboratory | 26797 Hanna Rd Bldg 4, Ste 7d, Conroe, TX 77385-6630 | 2018-02-20 |
| 1316288426 | H-e-b, Lp | Clinical Medical Laboratory | 3875 West Davis, Conroe, TX 77304 | 2013-03-14 |
| 1497864821 | H-e-b, Lp | Clinical Medical Laboratory | 2108 N Frazier St, Conroe, TX 77301 | 2006-08-30 |
| 1427683713 | Laboratory Corporation of America | Clinical Medical Laboratory | 690 S Loop 336 W Ste 222, Conroe, TX 77304-3320 | 2020-03-06 |
| 1073069084 | Laboratory Corporation of America | Clinical Medical Laboratory | 508 Medical Center Blvd, Conroe, TX 77304-2953 | 2016-08-30 |
| 1225489719 | Infinite Testing Labs LLC | Clinical Medical Laboratory | 16753 Donwick Dr, A6, Conroe, TX 77385-3674 | 2016-06-26 |
| 1225318199 | Ival,llc Dba Labxpress | Clinical Medical Laboratory | 8000 Highway 242, Suite 106b, Conroe, TX 77385-4342 | 2011-08-24 |
| 1568741544 | Ival LLC | Clinical Medical Laboratory | 3708 W Davis St, Suite I, Conroe, TX 77304-1865 | 2011-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841202 | D-lab Services LLC | Clinical Medical Laboratory | 3022 Motley Dr Ste 300, Mesquite, TX 75150-3440 | 2020-11-05 |
| 1609477843 | Callis Investments LLC | Clinical Medical Laboratory | 4234 I-35 Frontage Rd, Denton, TX 76207 | 2020-11-04 |
| 1659972149 | L&h Scientific, LLC | Clinical Medical Laboratory | 2801 Osler Dr Ste 123, Grand Prairie, TX 75051-1059 | 2020-11-03 |
| 1457951923 | Logos Clinical Laboratory LLC | Clinical Medical Laboratory | 7920 Belt Line Rd Ste 200, Dallas, TX 75254-8653 | 2020-10-26 |
| 1336748417 | Texas Mobile Medical Labs | Clinical Medical Laboratory | 3003 S Loop W Ste 108, Houston, TX 77054-1371 | 2020-10-20 |
| 1699374819 | Servants Approach Consulting LLC | Clinical Medical Laboratory | 3416 Blazon Gold Way, El Paso, TX 79936-0674 | 2020-10-19 |
| 1245838671 | Raazi Clinical Laboratory LLC. | Clinical Medical Laboratory | 7171 Highway 6 N Ste 204, Houston, TX 77095-2422 | 2020-10-16 |
| 1275131914 | Datoba International LLC | Clinical Medical Laboratory | 7447 Harwin Dr Ste 103, Houston, TX 77036-2016 | 2020-10-14 |
| 1669079208 | Exova Diagnostics LLC | Clinical Medical Laboratory | 9884 Monroe Dr, Dallas, TX 75220-1506 | 2020-10-07 |
| 1417554098 | Discover Labs LLC | Clinical Medical Laboratory | 13776 N Us Highway 183 Ste 108, Austin, TX 78750-1875 | 2020-10-06 |
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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.