Progenix Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROGENIX LAB, LLC

Practice address

33300 Egypt LN Ste F200
Magnolia, TX 77354-2741

Phone

(281) 409-2522

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Moye, PHD

Title

Compliance Office

Phone

(281) 409-2522

Specialties & licenses 1

Addresses

Practitioners 1

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

• Galina Rozenberg

  • Clinical Medical Laboratory
  • Magnolia, TX
  • NPI 1265037550
  NPD

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1245835594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE F200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542741",
            "telephone_number": "281-409-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE F200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542741",
            "telephone_number": "281-409-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGENIX LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "MOYE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICE",
        "authorized_official_telephone_number": "281-409-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Magnolia, TX
• Providers in Magnolia, 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 Dec 3, 2020; 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.