DBA, CONCENTRA MEDICAL CENTERS
NPI 1053575688
Clinic/Center - Health Service in Houston, TX
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 45D1004321
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-23-2026
About DBA, CONCENTRA MEDICAL CENTERS
This page provides the complete NPI Profile along with additional information for Dba, Concentra Medical Centers, a provider established in Houston, Texas operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1053575688 assigned on July 2008. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Dba, Concentra Medical Centers. The authorized official of this NPI record is Robert G Hassett (Vp)
- NPI
- 1053575688 Verify this NPI
- Provider Legal Name
- OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST P.A.
- Other Organization Name
- DBA, CONCENTRA MEDICAL CENTERS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6360 W SAM HOUSTON PKWY N N #200B HOUSTON, TX 77041
- Location Phone
- (713) 280-0365
- Location Fax
- (713) 280-0366
- Mailing Address
- 5080 SPECTRUM DR SUITE 1200 WEST TOWER ADDISON, TX 75001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2008
- Last Update Date
- 12-19-2023
- Code Navigator
Location Map
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
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center |
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 Number
- 45D1004321
- Facility Type
- Physician Office
- Certificate Effective Date
- September 24, 2024
- Certificate Expiration Date
- September 23, 2026
- Laboratory Director
- DOUGLAS K. PETERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dba, Concentra Medical Centers 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.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
HOUSTON, TX 77041
HOUSTON, TX 77041
HOUSTON, TX 77041
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053575688, enumerated as an "organization" on July 13, 2008.
The provider is located at 6360 W SAM HOUSTON PKWY N N #200B HOUSTON, TX 77041 and the phone number is (713) 280-0365.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
