LBJ Laboratory Support Services Corp.

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

20.0075R05 Issued in DC

Legal business name

LBJ LABORATORY SUPPORT SERVICES CORP.

Practice address

2626 South Loop West Suite 240
Houston, TX 77054

Phone

(713) 592-0343

Fax

(713) 592-0357

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Rosa Elia Montelongo

Title

Ceo

Phone

(713) 303-9415

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1316196074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 SOUTH LOOP WEST SUITE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-303-9415",
            "fax_number": "713-665-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SOUTH LOOP WEST SUITE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-592-0343",
            "fax_number": "713-592-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBJ LABORATORY SUPPORT SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "MONTELONGO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "ELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-303-9415"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "649296",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "DC",
            "license": "20.0075R05",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Darlene Lazarus, M.D.
• Eric Joseph Lazo, CRNA
• Marisela Gomez Lazo
• Sharon Lazorwitz, IBCLC
• Marita F. Lazzaro, RN, ANP, WHNP
• LBJ Laboratory Support Services, LLC
• LBJ Transportation & Courier Services
• LBJ Transportation&Courier Services
• LC Medical
• LC Respiratory Equipment

• Phlebotomy Technician in Houston, TX
• Providers in Houston, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.