Reserve Diagnostic Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RESERVE DIAGNOSTIC LAB

Practice address

2010S SE 1St St
Mineral Wells, TX 76067-5605

Phone

(844) 257-3737

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Chandresh Patel

Title

Consultant

Phone

(713) 443-8523

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1457009995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9032 TYNE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761187501",
            "telephone_number": "844-257-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010S SE 1ST ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675605",
            "telephone_number": "844-257-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESERVE DIAGNOSTIC LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHANDRESH",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "713-443-8523"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2251692",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.reservediagnostic.com",
            "affiliation": "N",
            "endpointDescription": "Secure Portal",
            "address_1": "2010S SE 1st St",
            "city": "Mineral Wells",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760675605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Edward Ramsey, RPH
• Janardhana P Reddy, M.D. , FACS
• Ashleigh Kay Reed
• Kayla Reed
• Mark Brennan Reimer, M.D.
• Resort Lodge, Inc.
• Richard W Hoefelmann MD PA
• Robert C Allensworth MD,PA
• Janet L Rounsville, FNP-C
• Ryan Freemyer

• Clinical Medical Laboratory in Mineral Wells, TX
• Providers in Mineral Wells, 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 Apr 14, 2022; 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.