MEMORIAL PHYSICIANS ASSOCIATION NPI 1023293966

Legal Medicine in Houston, TX

NPI 1023293966 Organization Legal Medicine CLIA Number 45D0964969 CLIA Certificate of Waiver

About MEMORIAL PHYSICIANS ASSOCIATION

Memorial Physicians Association is a provider established in Houston, Texas specializing in legal medicine. The NPI number of Memorial Physicians Association is 1023293966 and was assigned on January 2008. The practitioner's primary taxonomy code is 173000000X with license number J2257 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. Memorial Physicians Association 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 Trung S Pham (M.d.)

The CLIA number of Memorial Physicians Association is 45D0964969 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Memorial Physicians Association to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1023293966

Provider NameMEMORIAL PHYSICIANS ASSOCIATION
Provider Location Address13119 VETERANS MEMORIAL DR HOUSTON, TX 77014
Provider Mailing Address13119 VETERANS MEMORIAL DR HOUSTON, TX 77014
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-09-2008
Last Update Date04-13-2012


Primary Taxonomy

Taxonomy Code173000000X
ClassificationLegal Medicine
TypeOther Service Providers
License No.J2257
License StateTX
Taxonomy DescriptionThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Business Address

MEMORIAL PHYSICIANS ASSOCIATION
13119 VETERANS MEMORIAL DR
HOUSTON, TX
ZIP 77014
Phone: (281) 537-5300

Get Directions


Mailing Address

MEMORIAL PHYSICIANS ASSOCIATION
13119 VETERANS MEMORIAL DR
HOUSTON, TX
ZIP 77014
Phone: (281) 537-5300
Fax: (281) 537-5699



Authorized Official

Authorized Official Name TRUNG S PHAM
Authorized Official TitleM.D.
Authorized Official Phone(281) 537-5300

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 the NPI number 1023293966 is:

CLIA Number45D0964969
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00T86ZMEDICARE PIN (08)TX

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1780680264DR. TRUNG SI PHAM M.D.
Individual
Internal Medicine13119 VETERANS MEMORIAL DR
HOUSTON, TX 77014
(281) 537-5300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.