Organization Active NPI

Bedsider Nurse Staffing LLC

  • Clinical Medical Laboratory
  • Montgomery, TX
National Provider Identifier
1508510058
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BEDSIDER NURSE STAFFING LLC
Practice address
1014 Baja St
Montgomery, TX 77356-3602
Phone
(936) 703-8161
NPI assigned
Feb 3, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Melissa ManningNPI 1710638788
Title
Laboratory Director
Phone
(936) 703-8161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1014 Baja St
Montgomery, TX 77356-3602

Mailing address

1014 Baja St
Montgomery, TX 77356-3602

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2022.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1508510058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BAJA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 BAJA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563602",
            "telephone_number": "936-703-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDSIDER NURSE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "936-703-8161"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

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