{"npi":"1578894101","type":"NPI-2","status":"active","name":{"display":"Mediclab Clinical Laboratory, LLC","other":[],"organization_name":"MEDICLAB CLINICAL LABORATORY,LLC","authorised_official":"Raul Fashe"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"13900 BEECHNUT ST STE D","city":"HOUSTON","state":"TX","postal_code":"770836599","country_code":"US","phone":"2814954700","fax":"2814954703"},{"purpose":"MAILING","street_1":"13900 BEECHNUT ST STE D","city":"HOUSTON","state":"TX","postal_code":"770836599","country_code":"US","phone":"2814954700","fax":"2814954703"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"2801995","state":"TX","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-01-21","last_updated":"2011-11-26","_meta":{"source":"NPPES","snapshot_date":"2011-11-26","doc_url":"https://findmynpi.com/api"}}