GENESIS MEDICAL GROUP
NPI 1891348959
Clinical Medical Laboratory in Kingwood, TX

Active since July 18, 2019CLIA Certified · 4 labs
22001 NORTHPARK DR STE 220, KINGWOOD, TX 77339(281) 319-8399 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2022, Jan 31, 2020, Aug 5, 2019 and 1 more (4 updates tracked since 2019).

About Genesis Medical Group NPPES

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

GENESIS MEDICAL GROUP (NPI 1891348959) is a healthcare organization registered as a clinical medical laboratory in Kingwood, Texas and active in the NPI registry since July 2019. The organization holds 4 active CLIA laboratory certificates and lists Ivan Tarasenko, Coo, as its authorized official.

NPPES Registry Identity

NPI1891348959
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameDAVID P ELLENT PLLC
Location Address22001 NORTHPARK DR STE 220Kingwood, TX 77339-3810
Mailing Address22001 Northpark Dr Ste 220Kingwood, TX 77339-3811 · (281) 908-0686
Organization SubpartNo
Authorized OfficialIvan TarasenkoCoo · (281) 908-0686
Enumeration DateJuly 18, 2019
Last NPPES UpdateApril 26, 20234 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
NPI 1891348959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
22001 NORTHPARK DR STE 220, Kingwood, TX 77339

Other Names 1

Doing Business AsGenesis Medical Group

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 4

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 Accreditation 26D2080766

Genesis Medical Group · Kingwood, TX
Active · expires Mar 15, 2028
CLIA Number26D2080766
Laboratory TypeIndependent
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorDr. Amanda Natalizio
Laboratory Phone(281) 319-8303
Laboratory LocationGenesis Medical Group22001 Northpark Dr Suite 220, Kingwood, TX 77339
CLIA data matches this NPI record on: Address Name
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.

Certificate of Waiver 45D2292796

Genesis Medical Group- W Lake Houston · Kingwood, TX
Active · expires Oct 29, 2027
CLIA Number45D2292796
Laboratory TypeIndependent
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorSydney Myrick
Laboratory Phone(281) 410-4767
Laboratory LocationGenesis Medical Group- W Lake Houston1710 W Lake Houston Parkway Ste 260, Kingwood, TX 77339
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2328152

Genesis Medical Group- Kingwood Dr · Kingwood, TX
Active · expires Aug 4, 2027
CLIA Number45D2328152
Laboratory TypeIndependent
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorSydney Myrick
Laboratory Phone(281) 410-4767
Laboratory LocationGenesis Medical Group- Kingwood Dr350 Kingwood Medical Drive # 250, Kingwood, TX 77339
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2318092

Genesis Medical Group - Urology Kw · Kingwood, TX
Active · expires Feb 4, 2027
CLIA Number45D2318092
Laboratory TypeIndependent
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorSydney Myrick
Laboratory Phone(281) 410-4767
Laboratory LocationGenesis Medical Group - Urology Kw350 Kingwood Medical Drive, Suite 140, Kingwood, TX 77339
CLIA data matches this NPI record on: Name
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 David P Ellent PLLC's NPI number?

The NPI number for David P Ellent PLLC is 1891348959. It was assigned to this organization in the NPPES registry on July 18, 2019. The provider is doing business as Genesis Medical Group.

Where is David P Ellent PLLC located?

David P Ellent PLLC is located at 22001 Northpark Dr Ste 220, Kingwood, TX 77339. The listed phone number is (281) 319-8399.

What is David P Ellent PLLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does David P Ellent PLLC hold CLIA laboratory certificates?

Yes. 4 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.

What insurance does David P Ellent PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list David P Ellent PLLC 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 David P Ellent PLLC was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.