Azm Laboratories LLC

Primary specialty

Military Clinical Medical LaboratoryTaxonomy code 291900000X

Legal business name

AZM LABORATORIES LLC

Practice address

3610 Smith Barry Rd
Pantego, TX 76013-4640

Phone

(512) 760-4547

Fax

(214) 722-2192

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Violet Lewis, MA

Title

Laboratory Director

Phone

(512) 760-4547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1396520102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SMITH BARRY RD STE 103",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134633",
            "telephone_number": "512-760-4547",
            "fax_number": "214-722-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SMITH BARRY RD",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134640",
            "telephone_number": "512-760-4547",
            "fax_number": "214-722-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZM LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "512-760-4547",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Clinical Medical Laboratory in Pantego, TX
• Providers in Pantego, TX by specialty
• Military Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.