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TEXAS INDUSTRIAL MEDICAL
NPI 1679180293
Clinic/Center - Occupational Medicine in La Porte, TX

Active since September 28, 2020CLIA 45D2205083 · Waiver
1009 S BROADWAY ST, LA PORTE, TX 77571(819) 414-1742(281) 941-4692 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Texas Industrial Medical NPPES

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

TEXAS INDUSTRIAL MEDICAL (NPI 1679180293) is a healthcare organization registered as an occupational medicine in La Porte, Texas and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Suzanne Schafer Schafer, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679180293
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameTEXAS INDUSTRIAL MEDICAL
Location Address1009 S BROADWAY STLa Porte, TX 77571-5327
Mailing Address1009 S Broadway StLa Porte, TX 77571-5327 · (819) 414-1742 · Fax (281) 941-4692
Phone(819) 414-1742
Fax(281) 941-4692
Organization SubpartNo
Authorized OfficialSuzanne Schafer SchaferMedical Director · (281) 941-4174
Enumeration DateSeptember 28, 2020
NPPES CertifiedSeptember 28, 2020
✔ NPI 1679180293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1009 S BROADWAY ST, La Porte, TX 77571
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CLIA Laboratory Certificates CMS CLIA

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 45D2205083

Texas Industrial Medical · La Porte, TX
Active · expires Dec 10, 2026
CLIA Number45D2205083
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorRicky W. Moses
Laboratory Phone(281) 941-4174
Laboratory LocationTexas Industrial Medical1009 South Broadway St, La Porte, TX 77571
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

HARRIS COUNTY PUBLIC HEALTH & ENVIRONMENTAL SERVICES LAPORTE CLINIC
Clinic/Center (Public Health, State or Local)
1009 S BROADWAY ST
LA PORTE, TX 77571
Harris County (281) 471-4202
MERCY OTUOMAGIE RN
Registered Nurse (Community Health)
1009 S BROADWAY ST
LA PORTE, TX 77571
Harris County (281) 471-4202
KEELI SUE DARST NP
Nurse Practitioner (Family)
1009 S BROADWAY ST
LA PORTE, TX 77571
Harris County (281) 941-4174

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 Texas Industrial Medical's NPI number?

The NPI number for Texas Industrial Medical is 1679180293. It was assigned to this organization in the NPPES registry on September 28, 2020.

Where is Texas Industrial Medical located?

Texas Industrial Medical is located at 1009 S Broadway St, La Porte, TX 77571. The listed phone number is (819) 414-1742.

What is Texas Industrial Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Texas Industrial Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2205083) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Texas Industrial Medical was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.