Active NPI
Robin Browns
- Clinical Medical Laboratory
- Park City, UT
National Provider Identifier
1306131016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 39102
- Practice address
- 1640 Redstone Center Dr
Ste 200
Park City, UT 84098-7605 - Phone
- (713) 419-1326
- NPI assigned
- Jun 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | 39102 | DE | |
| Clinical Medical Laboratory | 291U00000X | 39102 | DE | Primary |
Addresses
Primary practice location
1640 Redstone Center Dr
Ste 200
Park City, UT 84098-7605
Mailing address
PO Box 8274
Galveston, TX 77553-8274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123695 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39102 | DE | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1306131016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8274",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775538274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 REDSTONE CENTER DR",
"address_2": "STE 200",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840987605",
"telephone_number": "713-419-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNS",
"first_name": "ROBIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "DE",
"license": "39102",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "DE",
"license": "39102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123695",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.