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CENTRUM MEDICAL GROUP, PLLC
NPI 1063165942
General Practice in Houston, TX

Active since January 31, 2022CLIA Certified · 2 labs
5910 SCOTT ST, HOUSTON, TX 77021(800) 218-8989(786) 558-0242 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centrum Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRUM MEDICAL GROUP, PLLC (NPI 1063165942) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since January 2022. The organization holds 2 active CLIA laboratory certificates and lists Graciela Victorero, Coo, as its authorized official.

NPPES Registry Identity

NPI1063165942
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRUM MEDICAL GROUP, PLLC
Location Address5910 SCOTT STHouston, TX 77021-1457
Mailing Address9250 Nw 36th St Ste 420Doral, FL 33178-2775 · (305) 266-2929
Phone(800) 218-8989
Fax(786) 558-0242
Organization SubpartNo
Authorized OfficialGraciela VictoreroCoo · (305) 266-2929
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1063165942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5910 SCOTT ST, Houston, TX 77021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2270977

Centrum Medical Group, PLLC · Mesquite, TX
Active · expires Oct 24, 2026
CLIA Number45D2270977
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorAkhi Saha
Laboratory Phone(305) 266-2929
Laboratory LocationCentrum Medical Group, PLLC2698 N Galloway Ave Suite 105, Mesquite, TX 75150
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2270978

Centrum Medical Group, PLLC · Saginaw, TX
Active · expires Oct 24, 2026
CLIA Number45D2270978
Laboratory TypePharmacy
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorAkhi Saha
Laboratory Phone(305) 266-2929
Laboratory LocationCentrum Medical Group, PLLC1029 N Saginaw Blvd Suite E-3, Saginaw, TX 76179
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUATTRO M FIRM INC
Pharmacy (Community/Retail Pharmacy)
5910 SCOTT ST, SUITE M
HOUSTON, TX 77021
Harris County (713) 741-5104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centrum Medical Group, PLLC's NPI number?

The NPI number for Centrum Medical Group, PLLC is 1063165942. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Centrum Medical Group, PLLC located?

Centrum Medical Group, PLLC is located at 5910 Scott St, Houston, TX 77021. The listed phone number is (800) 218-8989.

What is Centrum Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Centrum Medical Group, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Centrum Medical Group, PLLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.