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CITY CLINICAL LAB NPI 1710171384


NPI Information

NPI: 1710171384
Provider Name: CITY CLINICAL LAB
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
6300 HILLCROFT AVE
SUITE 100 B
HOUSTON, TX
ZIP 77081
Phone: (718) 484-8708
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CITY CLINICAL LAB is a clinical medical laboratory in Houston, TX. The provider is (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. CITY CLINICAL LAB NPI is 1710171384. The provider is registered as an organization entity type.

The provider's business location address is:

6300 HILLCROFT AVE
SUITE 100 B
HOUSTON, TX
ZIP 77081-005
Phone: (718) 484-8708
Fax: (713) 484-8799

The provider's authorized official is Anthony Akhigbe Sanami .
The authorized official title is Lab.manager/ceo and has the following contact phone number (713) 771-9994.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 9/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory45D1044915TEXASNo
2291U00000XClinical Medical LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1177274101MEDICAIDTEXAS
201175282OTHERTEXASAMERIGROUP NO.
3CL8606MEDICARE UPIN
4CL8606MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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