Bostwick Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BOSTWICK LABORATORIES, INC.

Practice address

7420 Remcon Cir
Suite J
El Paso, TX 79912-3508

Phone

(804) 967-9225

Fax

(804) 239-1954

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Martin J Stefanelli

Title

Ceo

Phone

(516) 512-5200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1043453830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606742",
            "telephone_number": "804-967-9225",
            "fax_number": "804-239-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 REMCON CIR",
            "address_2": "SUITE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123508",
            "telephone_number": "804-967-9225",
            "fax_number": "804-239-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTWICK LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "STEFANELLI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-512-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010062811",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Bosanko, LMT
• Angela Kim Bosh, PT
• Sara Beth Bosley, PH.D.
• Timothy Alan Bossetti, O.D.
• Erica Bostic, CPNP-PC
• Angel Bosworth
• Bryan Botello, NP
• Lluvia Leticia Botello, LPC, LCDC
• Rodolfo Botello, PMHNP
• Monica Botros, MD

• Clinical Medical Laboratory in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.