NPIMap

Organization Active NPI

Center for Assisted Reproduction Laboratory and Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Bedford, TX
National Provider Identifier
1043361587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007127 Issued in TX
Legal business name
CENTER FOR ASSISTED REPRODUCTION LABORATORY AND SURGERY CENTER, INC.
Practice address
1701 Park Place Ave
Bedford, TX 76022-6033
Phone
(817) 540-1157
Fax
(817) 267-0522
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gina Gomez
Title
Practice Administrator
Phone
(817) 540-7085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007127 TX Primary

Addresses

Primary practice location

1701 Park Place Ave
Bedford, TX 76022-6033

Mailing address

1701 Park Place Ave
Bedford, TX 76022-6033
Phone (817) 540-1157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 45C0001206

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CENTER FOR ASSISTED REPRODUCTI
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Apr 17, 1997
Last certification
Aug 22, 2019
Ownership / control type
Proprietary
Facility address
1701 Park Place Ave
Bedford, TX 76022

National Provider Directory

National Provider Directory
Tax ID family
Center for Assisted Reproduction Laboratory and Surgery Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043361587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PARK PLACE AVE",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226033",
            "telephone_number": "817-540-1157",
            "fax_number": "817-267-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PARK PLACE AVE",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226033",
            "telephone_number": "817-540-1157",
            "fax_number": "817-267-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ASSISTED REPRODUCTION LABORATORY AND SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-540-7085",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.