Odessa Fertility Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ODESSA FERTILITY LAB INC

Practice address

520 E 6TH St
Odessa, TX 79761-4527

Phone

(432) 582-8672

Fax

(432) 582-8971

NPI assigned

Nov 1, 2013

Organization subpart

No

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

Authorized official

Name

Stacey L Gerig

Title

Officer

Phone

(432) 582-8200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1316376239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SEABOARD LN BLDG E",
            "address_2": "ATTN; IASIS CORPORATE LEGAL DEPARTMENT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672855",
            "telephone_number": "615-844-2747",
            "fax_number": "615-467-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614527",
            "telephone_number": "432-582-8672",
            "fax_number": "432-582-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA FERTILITY LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "GERIG",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "432-582-8200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odessa Dental Solution PA
• Odessa East Loop Surgery Center ,LP
• Odessa Emergency Center, LLC
• Odessa Emergency Physicians PLLC
• Odessa Endoscopy Center LLC
• Odessa Heart Institute
• Odessa Heart Institute, P.a.
• Odessa I Enterprises, LLC
• Odessa II Enterprises, LLC
• Odessa Mall FDC PA

• Clinical Medical Laboratory in Odessa, TX
• Providers in Odessa, 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 Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.