Organization Active NPI

Javier Noriega

Doing business as first bloob medical laboratory

  • Clinical Medical Laboratory
  • St George, UT
National Provider Identifier
1336217793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JAVIER NORIEGA
Doing business as
first bloob medical laboratory
Practice address
1380 E Medical Center Dr # 109
St George, UT 84790-2123
Phone
(801) 649-8810
Fax
(801) 516-1418
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Javier Noriega
Title
President
Phone
(801) 649-8810

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X IL
Clinical Medical Laboratory 291U00000X UT Primary

Addresses

Primary practice location

1380 E Medical Center Dr # 109
St George, UT 84790-2123

Mailing address

1380 E Medical Center Dr # 109
St George, UT 84790-2123
Phone (801) 649-8810

Other names 1

  • first bloob medical laboratory Doing business as

National Provider Directory

National Provider Directory

Locations

1380 E Medical Center Dr
#109
St George, UT 84790
Phone (801) 649-8810

1380 E Medical Center Dr
Ste 109
St George, UT 84790
Phone (801) 649-8810

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336217793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR # 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "801-649-8810",
            "fax_number": "801-516-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR # 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "801-649-8810",
            "fax_number": "801-516-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER NORIEGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORIEGA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-649-8810"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "first bloob medical laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.