Astro Labz Permian Basin

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ASTRO LABZ PERMIAN BASIN

Practice address

10810 E Auburn St
Gardendale, TX 79758-4901

Phone

(432) 202-0321

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By 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

Al Berry

Title

Credentialing Manager

Phone

(323) 676-1281

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deidre Denee Orcutt, B.A.,CPT.,AMCA

  • Technician
  • Gardendale, TX
  • NPI 1699428474
  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1255053153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W WADLEY AVE STE 210",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055300",
            "telephone_number": "432-202-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 E AUBURN ST",
            "city": "GARDENDALE",
            "state": "TX",
            "postal_code": "797584901",
            "telephone_number": "432-202-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRO LABZ PERMIAN BASIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "323-676-1281"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Christina Beal
• Tina Lee Caro, ED.D., L.P.C
• Brianne Rennai Hight, OTR,MOT
• Ray Dumlao Johns, PT, MSHSA, DPT
• Deidre Denee Orcutt, B.A.,CPT.,AMCA

• Clinical Medical Laboratory in Gardendale, TX
• Providers in Gardendale, 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 Sep 16, 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.

Verify at the official NPI Registry.