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KELSEY SEYBOLD ASC MEMORIAL VILLAGES
NPI 1144977026
Clinic/Center - Ambulatory Surgical in Houston, TX

Active since March 09, 2022CLIA Certified · 3 labs
9110 KATY FREEWAY, HOUSTON, TX 77055(713) 442-5669 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Apr 7, 2022, Mar 9, 2022 (3 updates tracked since 2022).

About Kelsey Seybold Asc Memorial Villages NPPES

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

KELSEY SEYBOLD ASC MEMORIAL VILLAGES (NPI 1144977026) is a healthcare organization registered as an ambulatory surgical in Houston, Texas and active in the NPI registry since March 2022. The organization holds 3 active CLIA laboratory certificates and lists Julie Burch Garcia, Sr Director, Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1144977026
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKS SC LLC
Location Address9110 KATY FREEWAYHouston, TX 77055-7407
Mailing Address11511 Shadow Creek Pkwy, Central Business Office (asc)Pearland, TX 77584-7298 · (713) 442-5669
Phone(713) 442-5669
Organization SubpartYesParent: Kelsey-seybold Medical Group, Pllc
Authorized OfficialJulie Burch GarciaSr Director, Revenue Cycle Mgmt · (713) 442-5027
Enumeration DateMarch 9, 2022
Last NPPES UpdateMay 9, 20243 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1144977026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9110 KATY FREEWAY, Houston, TX 77055
Open in Google Maps ↗

Other Names 1

Doing Business AsKelsey Seybold Asc Memorial Villages

CLIA Laboratory Certificates CMS CLIA 3

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 Compliance 45D2268219

Kelsey-Seybold Clinic Memorial Villages ASC · Houston, TX
Active · expires Jun 26, 2028
CLIA Number45D2268219
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorJacqueline O Hare
Laboratory Phone(713) 442-4685
Laboratory LocationKelsey-Seybold Clinic Memorial Villages ASC9110 Katy Freeway, Houston, TX 77055
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 45D2262684

Kelsey-Seybold Clinic Memorial Villages · Houston, TX
Active · expires Jun 15, 2028
CLIA Number45D2262684
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorShane Magee
Laboratory Phone(713) 442-2400
Laboratory LocationKelsey-Seybold Clinic Memorial Villages9110 Katy Freeway, Houston, TX 77055
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D2264730

Kelsey-Seybold Clinics/Memorial Villages Lab · Houston, TX
Active · expires Jan 4, 2028
CLIA Number45D2264730
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorJamie Everett MD
Laboratory Phone(713) 442-6900
Laboratory LocationKelsey-Seybold Clinics/Memorial Villages Lab9110 Katy Freeway, Houston, TX 77055
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

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

DANIEL SIAO ZHANG M.D
Internal Medicine (Gastroenterology)
9110 KATY FREEWAY
HOUSTON, TX 77055
Harris County (713) 442-6900
WAFA HAFIZ FNP-C
Nurse Practitioner (Family)
9110 KATY FREEWAY
HOUSTON, TX 77055
Harris County (713) 442-6900
DR. WEI HUA KUO MD
Preventive Medicine (Occupational Medicine)
9110 KATY FREEWAY
HOUSTON, TX 77055
Harris County (713) 442-6900

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 Ks Sc LLC's NPI number?

The NPI number for Ks Sc LLC is 1144977026. It was assigned to this organization in the NPPES registry on March 9, 2022. The provider is doing business as Kelsey Seybold ASC Memorial Villages.

Where is Ks Sc LLC located?

Ks Sc LLC is located at 9110 Katy Freeway, Houston, TX 77055. The listed phone number is (713) 442-5669.

What is Ks Sc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Ks Sc LLC hold CLIA laboratory certificates?

Yes. 3 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 Ks Sc LLC was last updated on May 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.