Organization Active NPI

Carter Bloodcare

Doing business as Stewart Regional Blood Center

  • Clinical Medical Laboratory
  • Tyler, TX
National Provider Identifier
1568598365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CARTER BLOODCARE
Doing business as
Stewart Regional Blood Center
Practice address
815 S Baxter Ave
Tyler, TX 75701-2205
Phone
(903) 535-5400
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Walter Ott
Title
Chief Operating Officer
Phone
(817) 412-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X TX Primary

Addresses

Primary practice location

815 S Baxter Ave
Tyler, TX 75701-2205

Mailing address

2205 Highway 121
Bedford, TX 76021-5950
Phone (817) 412-5000

Other names 1

  • Stewart Regional Blood Center Doing business as

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
45D0483339Carter Bloodcare - Tyler815 South Baxter Avenue, Tyler, TX 75701AccreditationJul 26, 2027
45D0714568Carter Bloodcare - Tyler815 South Baxter Avenue, Tyler, TX 75701Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

815 S Baxter Ave
Tyler, TX 75701
Phone (512) 464-1289

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568598365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215950",
            "telephone_number": "817-412-5000",
            "fax_number": "817-412-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S BAXTER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012205",
            "telephone_number": "903-535-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER BLOODCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-412-5120"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Regional Blood Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.