MEDICARE: PURECARE DIAGNOSTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1730053166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURECARE DIAGNOSTICS

Provider Business Mailing Address
First Line	:	2743 SMITH RANCH RD STE 2503
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5204
Country	:	US
Telephone Number	:	713-379-2780
Fax Number	:	979-725-3104

Provider Business Practice Location Address
First Line	:	2743 SMITH RANCH RD STE 2503
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5204
Country	:	US
Telephone Number	:	713-379-2780
Fax Number	:	979-725-3104

Authorized Official
Title or Position	:	CEO
Name	:	KHADER SYED
Credential	:
Telephone Number	:	713-379-2780

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	04/06/2026

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