JASPER DIAGNOSTIC CLINIC
NPI 1801075957
Clinic/Center - Primary Care in Jasper, TX

Active since October 25, 2007CLIA 45D0940125 · Waiver
300 MARVIN HANCOCK DR, JASPER, TX 75951(409) 383-1355(409) 384-7276 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jasper Diagnostic Clinic NPPES

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

JASPER DIAGNOSTIC CLINIC (NPI 1801075957) is a healthcare organization registered as a primary care in Jasper, Texas and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Saurabh Singh, Owner, as its authorized official.

NPPES Registry Identity

NPI1801075957
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJASPER DIAGNOSTIC CLINIC
Location Address300 MARVIN HANCOCK DRJasper, TX 75951-3480
Mailing Address300 Marvin Hancock DrJasper, TX 75951-3480 · (409) 383-1355 · Fax (409) 384-7276
Fax(409) 384-7276
Organization SubpartNo
Authorized OfficialSaurabh SinghOwner · (409) 383-1355
Enumeration DateOctober 25, 2007
✔ NPI 1801075957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · J4671
300 MARVIN HANCOCK DR, Jasper, TX 75951

Other Identifiers 2

Medicare PIN00527RTX
Medicaid1442428TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasper Diagnostic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jasper Diagnostic Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1871593103
300 MARVIN HANCOCK DR
Jasper, TX 75951
(409) 383-1355
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D0940125

Jasper Diagnostic Clinic · Jasper, TX
Active · expires Feb 4, 2028
CLIA Number45D0940125
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorSaurabh Singh MD
Laboratory Phone(409) 383-1355
Laboratory LocationJasper Diagnostic Clinic300 Marvin Hancock Drive, Jasper, TX 75951
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jasper Diagnostic Clinic's NPI number?

The NPI number for Jasper Diagnostic Clinic is 1801075957. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is Jasper Diagnostic Clinic located?

Jasper Diagnostic Clinic is located at 300 Marvin Hancock Dr, Jasper, TX 75951. The listed phone number is (409) 383-1355.

What is Jasper Diagnostic Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jasper Diagnostic Clinic enrolled in Medicare?

Yes. Jasper Diagnostic Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jasper Diagnostic Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jasper Diagnostic Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jasper Diagnostic Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0940125) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jasper Diagnostic Clinic accept?

Health plans from WellPoint list Jasper Diagnostic Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasper Diagnostic Clinic was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.