Active NPI
BDS Healthcare LLC
Doing business as Vybrem Labs
- Clinical Medical Laboratory
- Barling, AR
National Provider Identifier
1033638069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 04D2132998
- Legal business name
- BDS HEALTHCARE LLC
- Doing business as
- Vybrem Labs
- Practice address
- 1311 Fort St Ste M
Barling, AR 72923-2045 - Phone
- (469) 221-9405
- Fax
- (877) 670-0124
- NPI assigned
- Sep 11, 2017
- Last updated
- Sep 14, 2017
- 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
- Mr. Cary K Rossel
- Title
- General Partner/Officer
- Phone
- (214) 888-8099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 04D2132998 | AR | Primary |
Addresses
Primary practice location
1311 Fort St Ste M
Barling, AR 72923-2045
Mailing address
1321 Valwood Pkwy Ste 660
Carrollton, TX 75006-6889
Phone (469) 221-9405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04D2132998 | Other | AR | CLIA |
Other names 1
- Vybrem Labs
National Provider Directory
National Provider Directory- Tax ID family
- BDS Healthcare LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Carrollton, TX
- NPI 1407206303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505347200000",
"number": "1033638069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 VALWOOD PKWY STE 660",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066889",
"telephone_number": "469-221-9405",
"fax_number": "877-670-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 FORT ST STE M",
"city": "BARLING",
"state": "AR",
"postal_code": "729232045",
"telephone_number": "469-221-9405",
"fax_number": "877-670-0124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BDS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-11",
"last_updated": "2017-09-14",
"status": "A",
"authorized_official_last_name": "ROSSEL",
"authorized_official_first_name": "CARY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "GENERAL PARTNER/OFFICER",
"authorized_official_telephone_number": "214-888-8099",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "AR",
"license": "04D2132998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "04D2132998",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vybrem Labs",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Barling, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.