OrganizationActive
The 21 Club of Cny Inc
NPI 1477410090 · Clinical Medical Laboratory · Houston, TX
The 21 Club of Cny Inc is a Clinical Medical Laboratory organization in Houston, TX (NPI 1477410090).
Provider details
- NPI number
- 1477410090
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Carolyn Waldron, Owner(713) 766-2796
Specialties & taxonomies
Laboratories
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12828 Willow Centre Dr Ste D
Houston, TX 77066-3043
Phone: (713) 766-2796
Fax: (712) 219-5827
Street-level locationGet directions
Mailing address
12828 Willow Centre Dr Ste D
Houston, TX 77066-3043
Registry dates
- Enumerated
- 2026-01-06
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Frequently asked questions
- What is The 21 Club of Cny Inc's NPI number?
- The 21 Club of Cny Inc's National Provider Identifier (NPI) is 1477410090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The 21 Club of Cny Inc?
- The 21 Club of Cny Inc is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is The 21 Club of Cny Inc located?
- The 21 Club of Cny Inc's practice location on file with NPPES is 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043.
- What is The 21 Club of Cny Inc's phone number?
- The practice phone number listed in the NPPES registry for The 21 Club of Cny Inc is (713) 766-2796.
- Who is the authorized official for The 21 Club of Cny Inc?
- The authorized official listed on The 21 Club of Cny Inc's NPPES record is Carolyn Waldron, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The 21 Club of Cny Inc's NPI active?
- Yes — The 21 Club of Cny Inc's NPI (1477410090) is active in the NPPES registry as of the last update on 2026-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.