Organization Active NPI

West Texas Family Medicine Laboratory

  • Clinical Medical Laboratory
  • Plainview, TX
National Provider Identifier
1457898538
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WEST TEXAS FAMILY MEDICINE LABORATORY
Practice address
1806 Quincy St
Plainview, TX 79072-4206
Phone
(806) 288-7891
Fax
(806) 288-7920
NPI assigned
Jan 26, 2017
Organization subpart
Yes
Parent organization
WEST TEXAS FAMILY MEDICINE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Maria Ortega
Title
Billing Manager
Phone
(806) 213-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1806 Quincy St
Plainview, TX 79072-4206

Mailing address

1806 Quincy St
Plainview, TX 79072-4206
Phone (806) 288-7891

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1101826Covenant West Texas Family Medicine1806 Quincy Street, Plainview, TX 79072Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
West Texas Family Medicine3 organizations share this tax ID, including this one
Part of
West Texas Family Medicine

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1457898538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 QUINCY ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790724206",
            "telephone_number": "806-288-7891",
            "fax_number": "806-288-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 QUINCY ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790724206",
            "telephone_number": "806-288-7891",
            "fax_number": "806-288-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS FAMILY MEDICINE LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST TEXAS FAMILY MEDICINE, PLLC",
        "enumeration_date": "2017-01-26",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "806-213-9560"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.