Nickl Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NICKL LABS

Practice address

6310 Delaware St Ste 122
Beaumont, TX 77706-7646

Phone

(409) 923-0012

Fax

(409) 291-8010

NPI assigned

Jan 22, 2018

Organization subpart

No

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

Authorized official

Name

Danielle Woods

Title

Administration

Phone

(409) 923-0012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1073021242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 DELAWARE ST STE 122",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067646",
            "telephone_number": "409-923-0012",
            "fax_number": "409-291-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 DELAWARE ST STE 122",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067646",
            "telephone_number": "409-923-0012",
            "fax_number": "409-291-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKL LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "409-923-0012"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CL5957",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tien Nguyen, PHARMD
• Tracy Nguyen
• Grace E. Nichols, MED, LPC
• Veronica Nichols
• Angela Rochelle Nickerson, LVN
• Nighthawk Physicians of Texas, PA
• Vivian Nim
• Nip Transportation LLC
• Nirp Beaumont, PLLC (PAD Specialists - Beaumont)
• Nisha Amin, PH.D., P.L.L.C

• Clinical Medical Laboratory in Beaumont, TX
• Providers in Beaumont, 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 Jan 22, 2018; 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.