Active NPI
Medi-Lab Provider Services LLC
- Personal Care Attendant
- McAllen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- MEDI-LAB PROVIDER SERVICES LLC
- Practice address
- 1307 S 10TH St Ste 2
McAllen, TX 78501-5023 - Phone
- (956) 800-5008
- NPI assigned
- May 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Selene Perez
- Title
- Administrator
- Phone
- (956) 360-7889
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1307 S 10TH St Ste 2
McAllen, TX 78501-5023
Mailing address
605 S 10TH St Ste B
McAllen, TX 78501-4967
Phone (956) 800-5008
Other practice location 1
4301 N 22nd St Ste A-1
McAllen, TX 78504-0035
Phone (956) 800-5008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174013288 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1307 S 10th St
Ste 2
McAllen, TX 78501
Phone (956) 800-5008
4301 N 22nd St
Ste A1
McAllen, TX 78504
Phone (956) 800-5008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- McAllen, TX
- NPI 1104334192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1174013288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S 10TH ST STE B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014967",
"telephone_number": "956-800-5008",
"fax_number": "956-800-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 S 10TH ST STE 2",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785015023",
"telephone_number": "956-800-5008"
}
],
"practiceLocations": [
{
"address_1": "4301 N 22nd St Ste A-1",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "785040035",
"country_code": "US",
"telephone_number": "956-800-5008",
"fax_number": "956-800-5311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDI-LAB PROVIDER SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-14",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "SELENE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "956-360-7889"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174013288",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.