BFG Laboratory Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BFG LABORATORY SERVICES, LLC

Practice address

1402 Grant Street, Suiteb
Roma, TX 78582

Phone

(956) 208-0818

NPI assigned

Jun 29, 2009

Last updated

Jun 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Ana Falcon

Title

Part Owner

Phone

(956) 358-2723

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1609004670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 GRANT STREET, SUITEB",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78582",
            "telephone_number": "956-208-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 GRANT STREET, SUITEB",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78582",
            "telephone_number": "956-208-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFG LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANA",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "956-358-2723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Roma, TX
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• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.