INNOVATIVE PATHOLOGY LABORATORY SERVICE (NPI# 1780057026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780057026 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PATHOLOGY LABORATORY SERVICE |
| Practice Address |
1475 Fm 1960 Bypass Rd E Humble TX 77338-3909 |
| Practice Telephone | 7134167749 |
| Mailing Telephone | 7134167749 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | MR. RANDY BUTLER (ADMINISTRATOR) |
| Authorized Official Telephone | 7134167749 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 45D209495 | TX | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CLIA | 45D2099495 | 01 |
| Street Address |
1475 FM 1960 BYPASS RD E |
| City | HUMBLE |
| State | TX |
| Zip Code | 77338-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053631424 | Ispine Care Specialist, Pllc | General Acute Care Hospital | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2010-06-08 |
| 1174037170 | Southeast Medical Ventures, LLC | General Acute Care Hospital | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2017-11-29 |
| 1720522725 | Humble Surgical Hospital, LLC | Durable Medical Equipment & Medical Supplies | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2016-12-09 |
| 1750795225 | Humble Cardio and Endovascular | Internal Medicine | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2014-06-12 |
| 1003229378 | Humble Cardiac and Endovascular | Internal Medicine | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2014-06-04 |
| 1306258413 | Vadheim Management Group, LLC | General Acute Care Hospital | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2014-05-22 |
| 1154748259 | Natf Orthopaedics, Pllc | General Acute Care Hospital | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2014-03-26 |
| 1013347566 | Lks Surgery, Pllc | General Acute Care Hospital | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2013-11-20 |
| 1467887620 | Ultimate Surgical Procedures, Pllc | General Acute Care Hospital | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2013-09-06 |
| 1326473604 | Spine Guru Pllc | General Acute Care Hospital | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2013-09-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1942818240 | Karla Marize Howard | Nurse Practitioner | 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 | 2020-07-22 |
| 1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
| 1053957514 | Sherrie Conn | Technician | 20430 Moon Walk Dr, Humble, TX 77338 | 2019-11-20 |
| 1235772450 | Madeline Rigler | Dietitian, Registered | 18980 N Memorial Dr Ste 100, Humble, TX 77338 | 2019-10-21 |
| 1982254025 | Daira Lynn Springer | Registered Nurse | 18980 W Memorial Dr., Suite 100, Humble, TX 77338 | 2019-09-19 |
| 1306494687 | Strategic Development & Instruction | Counselor | 9802 Farm To Market 1960 Bypass, Humble, TX 77338 | 2019-08-29 |
| 1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
| 1699246181 | Deerbrook Asc LLC | Clinic/Center | 18450 Hwy 59 Suite 101-b, Humble, TX 77338 | 2018-12-10 |
| 1760950141 | Mckay Health Care LLC | Skilled Nursing Facility | 19279 Mckay Dr., Humble, TX 77338 | 2018-11-05 |
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| 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 |
|---|---|---|---|---|
| 1669712436 | Emar Diagnostic Services | Clinical Medical Laboratory | 17735 Rough River Ct, Humble, TX 77346-8265 | 2013-02-15 |
| 1487631743 | Laboratory Corporation of America | Clinical Medical Laboratory | 8484 Will Clayton Pkwy, Humble, TX 77338-5830 | 2005-12-28 |
| 1912448903 | Calvary Med Pa | Clinical Medical Laboratory | 8484 Will Clayton Pkwy, Humble, TX 77338-5830 | 2017-03-10 |
| 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.