Active NPI
B Tek, LLC
- Clinical Medical Laboratory
- Woodbury, MN
National Provider Identifier
1609256122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 4059781
- Legal business name
- B TEK, LLC
- Practice address
- 6043 Hudson Rd
Suite 220
Woodbury, MN 55125-1018 - Phone
- (651) 925-8200
- Fax
- (651) 925-8201
- NPI assigned
- Jun 1, 2015
- Last updated
- Dec 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Higham
- Title
- Ceo
- Phone
- (214) 365-6112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 4059781 | MN | Primary |
Addresses
Primary practice location
6043 Hudson Rd
Suite 220
Woodbury, MN 55125-1018
Mailing address
6043 Hudson Rd
Suite 220
Woodbury, MN 55125-1018
Phone (651) 925-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150916001164 | MN | Part B Supplier - Independent Clinical Laboratory | 3779890272 | Practice locations: Woodbury, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2096806 | B-Tek, LLC | Accreditation | Apr 5, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
6043 Hudson Rd
Ste 220
Woodbury, MN 55125
Phone (651) 348-5606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1609256122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6043 HUDSON RD",
"address_2": "SUITE 220",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251018",
"telephone_number": "651-925-8200",
"fax_number": "651-925-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6043 HUDSON RD",
"address_2": "SUITE 220",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251018",
"telephone_number": "651-925-8200",
"fax_number": "651-925-8201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B TEK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-01",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A",
"authorized_official_last_name": "HIGHAM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-365-6112"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MN",
"license": "4059781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.