LADOT HEALTHCARE LLC NPI 1912502626

NPI Information

NPI: 1912502626
Provider Name: LADOT HEALTHCARE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2279573

Address:
3129 KINGSLEY DR STE 540
PEARLAND, TX
ZIP 77584
Phone: (832) 340-7101
Get Directions

LADOT HEALTHCARE LLC is a multi-specialty clinic center in Pearland, TX. LADOT HEALTHCARE LLC NPI is 1912502626. The provider is registered as an organization entity type.

The provider's business location address is:

3129 KINGSLEY DR STE 540
PEARLAND, TX
ZIP 77584-508
Phone: (832) 340-7101

The provider's authorized official is Oladipo Dada .
The authorized official title is Owner and has the following contact phone number (832) 340-7101.

The CLIA number assigned to this NPI record is 45D2279573 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 7/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	423440301	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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