FPG Labs of Austin, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D1021548 Issued in TX

Legal business name

FPG LABS OF AUSTIN, LLC

Practice address

6500 N Mo Pac Expy
Building 3, Suite 3102
Austin, TX 78731-3282

Phone

(512) 610-7475

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Goldie Gupta

Title

Cfo

Phone

(630) 536-7738

Specialties & licenses 1

Addresses

Other names 1

• Ovagen Fertility Doing business as

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1255797148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD",
            "address_2": "SUITE 625",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364793",
            "telephone_number": "818-858-1080",
            "fax_number": "323-729-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MO PAC EXPY",
            "address_2": "BUILDING 3, SUITE 3102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313282",
            "telephone_number": "512-610-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPG LABS OF AUSTIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GOLDIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-536-7738"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1021548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovagen Fertility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ovagen Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesley Fox, DC
• William T. Fox Jr., PA-C
• Christina Marie Foxhall, LCSW
• Craig A Foxhoven, PT
• Mary Foxworthy
• Robert L Frachtman, M.D.
• Anthony Fraello, CP
• Clifford Jack Fraim, M.D.
• Mona Fraley
• Frame Right Holding LLC

• Clinical Medical Laboratory in Austin, TX
• Providers in Austin, 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 20, 2021; 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.