NPIMap

Organization Active NPI

Valley Labs

  • Clinical Medical Laboratory
  • Santa Rosa, TX
National Provider Identifier
1174861678
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2013-00000313 Issued in TX
Legal business name
VALLEY LABS
Practice address
20476 Thompson Rd
Santa Rosa, TX 78593-2084
Phone
(813) 569-8996
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Estella Munoz
Title
Office Manager
Phone
(813) 569-8996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2013-00000313 TX Primary

Addresses

Primary practice location

20476 Thompson Rd
Santa Rosa, TX 78593-2084

Mailing address

20476 Thompson Rd
Santa Rosa, TX 78593-2084
Phone (813) 569-8996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1174861678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20476 THOMPSON RD",
            "city": "SANTA ROSA",
            "state": "TX",
            "postal_code": "785932084",
            "telephone_number": "813-569-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20476 THOMPSON RD",
            "city": "SANTA ROSA",
            "state": "TX",
            "postal_code": "785932084",
            "telephone_number": "813-569-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ESTELLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-569-8996"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "2013-00000313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.