GENESIS MEDICAL DIAGNOSTICS
NPI 1912659459
Clinical Medical Laboratory in Tomball, TX

Active since January 26, 2022CLIA 45D2310981 · Waiver
455 SCHOOL ST STE 30, TOMBALL, TX 77375(800) 951-0182(832) 565-1921 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 45D0494205
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 12-22-2025

About GENESIS MEDICAL DIAGNOSTICS

This page provides the complete NPI Profile along with additional information for Genesis Medical Diagnostics, a provider established in Tomball, Texas operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1912659459 assigned on January 2022. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ewan Douglas Johnson Md,phd (Ceo)

NPI
1912659459 Verify this NPI
Provider Name
GENESIS MEDICAL DIAGNOSTICS
Entity Type
Organization
Location Address
455 SCHOOL ST STE 30 TOMBALL, TX 77375
Location Phone
(800) 951-0182
Location Fax
(832) 565-1921
Mailing Address
14090 FM 2920 RD STE 345G TOMBALL, TX 77377
Mailing Phone
(281) 415-6687
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2022
Last Update Date
01-26-2022
Code Navigator

Establishments like Genesis Medical Diagnostics are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EWAN DOUGLAS JOHNSON MD,PHD

Authorized Official Title
CEO
Authorized Official Phone
(281) 516-0212

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
45D2245371OTHER (01)TXHHS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0494205
Facility Type
Independent
Certificate Effective Date
December 23, 2023
Certificate Expiration Date
December 22, 2025
Laboratory Director
DR. AMANDA J. NATALIZIO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Genesis Medical Diagnostics on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for GENESIS MEDICAL DIAGNOSTICS

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Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Pharmacist
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Nurse Practitioner (Family)
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Nurse Practitioner (Primary Care)
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Pharmacist
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Pharmacist
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Nurse Practitioner (Family)
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Nurse Practitioner (Family)
455 SCHOOL ST STE 30
TOMBALL, TX 77375
General Practice
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Nurse Practitioner (Family)
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Nurse Practitioner (Family)
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Clinic/Center (Federally Qualified Health Center (FQHC))
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Nurse Practitioner (Pediatrics)
455 SCHOOL ST STE 30
TOMBALL, TX 77375
Family Medicine
455 SCHOOL ST STE 30
TOMBALL, TX 77375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912659459, enumerated as an "organization" on January 26, 2022.

The provider is located at 455 SCHOOL ST STE 30 TOMBALL, TX 77375 and the phone number is (800) 951-0182.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.