Center for Assisted Reproduction Laboratory and Surgery Center, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

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

Feb 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Gomez

Title

Practice Administrator

Phone

(817) 540-7085

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Center for Assisted Reproduction Laboratory and Surgery Center Inc.

  • Clinical Medical Laboratory
  • Fort Worth, TX
  • NPI 1033440151
  NPD tax ID
• Center for Assisted Reproduction Laboratory and Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Bedford, TX
  • NPI 1043361587
  NPD tax ID

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124167887",
    "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": "2007-02-06",
        "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"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "007127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Catuncan, O.D.
• CBJR Realty LLC (CBJR Wellness)
• CCL Labs LLC
• Victoria Adriana Celaya
• Center for Assisted Reproduction
• Center for Assisted Reproduction Laboratory and Surgery Center, Inc.
• Central Bedford Pharmacy, LLC
• Central Park Endoscopy Center LLC (Digestive Health Center of Bedford)
• Suparna Chakraborty, DO
• Elizabeth Chandy, D.O.

• Clinical Medical Laboratory in Bedford, TX
• Providers in Bedford, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.