PRO-ELITE MANAGEMENT SERVICES CORP
NPI 1922814250
General Practice in Katy, TX
About Pro-elite Management Services Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRO-ELITE MANAGEMENT SERVICES CORP (NPI 1922814250) is a healthcare organization registered as a general practice in Katy, Texas and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Jose Rivas, Medical Director, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Practice 1
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
- 45D2316695
- Facility Type
- Physician Office
- Certificate Effective Date
- January 10, 2025
- Certificate Expiration Date
- January 09, 2027
- Laboratory Director
- EHRENTRAUD JOHANNA EICHELBAUM MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pro-elite Management Services Corp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
KATY, TX 77450
KATY, TX 77450
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922814250, enumerated as an "organization" on December 11, 2024.
The provider is located at 21685 KINGSLAND BLVD KATY, TX 77450 and the phone number is (346) 594-2104.
General Practice with taxonomy code 208D00000X.
