Active NPI
Smartlab
- Clinical Medical Laboratory
- Mathis, TX
National Provider Identifier
1023319944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SMARTLAB
- Practice address
- 304 E San Patricio Ave
Mathis, TX 78368-2350 - Phone
- (361) 991-0112
- Fax
- (361) 991-0181
- NPI assigned
- Nov 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Haitham Jifi, MD
- Title
- Ceo
- Phone
- (361) 991-0112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
304 E San Patricio Ave
Mathis, TX 78368-2350
Mailing address
304 E San Patricio Ave
Mathis, TX 78368-2350
Phone (361) 991-0112
National Provider Directory
National Provider Directory- Tax ID family
- Smartlab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Mathis, TX
- NPI 1629312194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1023319944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E SAN PATRICIO AVE",
"city": "MATHIS",
"state": "TX",
"postal_code": "783682350",
"telephone_number": "361-991-0112",
"fax_number": "361-991-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E SAN PATRICIO AVE",
"city": "MATHIS",
"state": "TX",
"postal_code": "783682350",
"telephone_number": "361-991-0112",
"fax_number": "361-991-0181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMARTLAB",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "JIFI",
"authorized_official_first_name": "HAITHAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "361-991-0112",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mathis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.