LABORDE DERMATOLOGY, PA
NPI 1003006156
Specialist in Houston, TX

NPI Status: Active since July 25, 2007

Contact Information

1333 WEST LOOP S STE 1425
HOUSTON, TX
ZIP 77027
Phone: (713) 960-0700
Fax: (713) 960-0761

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  • Organization
  • Specialist
  • CLIA Number 45D1046810
  • CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About LABORDE DERMATOLOGY, PA

Laborde Dermatology, Pa is a provider established in Houston, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1003006156 assigned on July 2007. The practitioner's primary taxonomy code is 174400000X with license number L5013 (TX). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Stephen Van Laborde Md (Physician / President)

NPI1003006156
Provider NameLABORDE DERMATOLOGY, PA
Location Address1333 WEST LOOP S STE 1425 HOUSTON, TX 77027
Location Phone(713) 960-0700
Mailing Address1333 WEST LOOP S STE 1425 HOUSTON, TX 77027
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-25-2007
Last Update Date06-22-2022
Code Navigator



The CLIA number of Laborde Dermatology, Pa is 45D1046810 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Laborde Dermatology, Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
L5013
License State
TX
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Location Map

Mailing Address

1333 WEST LOOP S STE 1425
HOUSTON, TX
ZIP 77027
Phone: (713) 960-0700
Fax: (713) 960-0761

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN VAN LABORDE MD

Authorized Official Title
PHYSICIAN / PRESIDENT
Authorized Official Phone
(713) 960-0700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number45D1046810
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

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NPI Validation Check Digit Calculation


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

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003006156
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030012110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 2 + 1 + 1 + 0 + 24 = 34
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 34 = 66

The NPI number 1003006156 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962488106 STEPHEN V LABORDE MD
Individual
Dermatology1333 WEST LOOP S STE 1425
HOUSTON, TX 77027
(713) 534-3126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003006156, enumerated in the NPI registry as an "organization" on July 25, 2007

The provider is located at 1333 West Loop S Ste 1425 Houston, Tx 77027 and the phone number is (713) 960-0700

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider's CLIA number is 45D1046810 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on July 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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