Accutox, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D0999705 Issued in TX

Legal business name

ACCUTOX, INC.

Practice address

105 Ih 10 S
Beaumont, TX 77702-2551

Phone

(409) 813-2228

Fax

(409) 813-1106

NPI assigned

Aug 14, 2006

Last updated

Jan 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leah Fontenot

Title

Billing - Credentialing Supervisor

Phone

(409) 813-2228

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1437162302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 IH 10 S",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022551",
            "telephone_number": "409-813-2228",
            "fax_number": "409-813-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 IH 10 S",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022551",
            "telephone_number": "409-813-2228",
            "fax_number": "409-813-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUTOX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "BILLING - CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "409-813-2228"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0999705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157824701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.