Organization Active NPI

Cardiolab, LLC

  • Clinical Medical Laboratory
  • McAllen, TX
National Provider Identifier
1033267596
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CARDIOLAB, LLC
Practice address
3241 N 38TH St
McAllen, TX 78501-3301
Phone
(956) 207-7812
Fax
(866) 624-4990
NPI assigned
Jan 8, 2007
Last updated
Aug 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mario Rodriguez Jr.
Title
Director
Phone
(956) 207-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

3241 N 38TH St
McAllen, TX 78501-3301

Mailing address

10331 N 24TH LN
McAllen, TX 78504-6286
Phone (956) 207-7812

Other identifiers 2

IdentifierTypeStateIssuer
CL1054OtherTXMEDICARE GROUP PTAN
45D1091769OtherCLIA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1033267596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10331 N 24TH LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046286",
            "telephone_number": "956-207-7812",
            "fax_number": "866-624-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 N 38TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013301",
            "telephone_number": "956-207-7812",
            "fax_number": "866-624-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-207-7812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "CL1054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1091769",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.