MEDICARE: HOUSTON DIAGNOSTICS LAB LLC

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	:	1114749850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON DIAGNOSTICS LAB LLC

Provider Business Mailing Address
First Line	:	5615 NW CENTRAL DR STE C107
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2048
Country	:	US
Telephone Number	:	832-932-2188
Fax Number	:	832-932-2189

Provider Business Practice Location Address
First Line	:	5615 NW CENTRAL DR STE C107
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2048
Country	:	US
Telephone Number	:	832-932-2188
Fax Number	:	832-932-2189

Authorized Official
Title or Position	:	OWNER
Name	:	ALAA QUNEIS
Credential	:
Telephone Number	:	832-932-2188

Provider Enumeration Date	:	10/24/2024
Last Update Date	:	10/24/2024

Similar Medicare Providers

1265861413 — MELODY ROJAS LMT
Practice Location Address:

5615 NW CENTRAL DR # C100B
HOUSTON, TX
77092-2048

Practice Phone: 713-462-6569
Practice Fax:

1033548284 — MERLE BARZIZA LMT
Practice Location Address:

5615 NW CENTRAL DR # C100B
HOUSTON, TX
77092-2048

Practice Phone: 713-462-6569
Practice Fax:

1366856023 — TRALYNN VICTORIAN
Practice Location Address:

5615 NW CENTRAL DR STE C105
HOUSTON, TX
77092-2048

Practice Phone: 832-791-3295
Practice Fax: 346-410-0067

1669283263 — VICTORIOUS HOME CARE, LLC
Practice Location Address:

5615 NW CENTRAL DR STE C105
HOUSTON, TX
77092-2048

Practice Phone: 832-791-3295
Practice Fax:

1013528231 — FEEL FREE PT PLLC
Practice Location Address:

3815 EASTSIDE ST
HOUSTON, TX
77098-2048

Practice Phone: 386-837-3646
Practice Fax:

1588655583 — LOUISE COPE MOORHEAD M.D.
Practice Location Address:

3816 NORTHWESTERN ST
HOUSTON, TX
77005-2048

Practice Phone: 713-481-2351
Practice Fax:

Directions to “HOUSTON DIAGNOSTICS LAB LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.