Organization Active NPI

Nickster, LLC.

  • Clinical Medical Laboratory
  • Waco, TX
National Provider Identifier
1164178984
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NICKSTER, LLC.
Practice address
1514 Austin Ave
Waco, TX 76701-1712
Phone
(254) 772-8660
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Eric Schmeltekopf
Title
Manager
Phone
(254) 644-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1514 Austin Ave
Waco, TX 76701-1712

Mailing address

1514 Austin Ave
Waco, TX 76701-1712

National Provider Directory

National Provider Directory
Tax ID family
Nickster LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1164178984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 AUSTIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 AUSTIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011712",
            "telephone_number": "254-772-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKSTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "SCHMELTEKOPF",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "254-644-0515"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.