Renascent Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RENASCENT LABORATORIES LLC

Practice address

431 Pine St Ste 314
Burlington, VT 05401-4993

Phone

(802) 540-1132

NPI assigned

Oct 21, 2025

Organization subpart

No

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

Authorized official

Name

Matthew Gombrich, MD

Title

Ceo

Phone

(802) 316-0894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1588531925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PINE ST STE 314",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014993",
            "telephone_number": "802-540-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PINE ST STE 314",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014993",
            "telephone_number": "802-540-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENASCENT LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "GOMBRICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-316-0894",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Elizabeth Reinsborough, M.A.
• Maximilian Reisinger, MD
• David A Reisman, M.D.
• Katherine Reitz, MS OTR/L
• Julia Marie Rembetsy-Brown, DO
• Allen Bowman Repp II, M.D.
• David Charles Rettew, M.D.
• Julie D Reville, MS CCCSLP
• Revolution Youth Inc
• Miguel Alberto Reyes-Zaragoza, MD

• Clinical Medical Laboratory in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Medical Laboratory in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.