Bel Nome Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BEL NOME LABORATORY LLC

Practice address

818 E Villa Maria Rd
Bryan, TX 77802-5337

Phone

(877) 752-2770

Fax

(877) 752-2770

NPI assigned

Apr 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Punit Patel

Title

Owner

Phone

(817) 287-8044

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1679218176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025337",
            "telephone_number": "877-752-2770",
            "fax_number": "877-752-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025337",
            "telephone_number": "877-752-2770",
            "fax_number": "877-752-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL NOME LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PUNIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-287-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2252702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mykala Bearden, PA
• Stephan Beatty, PHD, LPC-S
• Jane Marie Beck, MA, LPC-ASSOCIATE
• Matthew Becka, RN
• Colleen Beesinger, CRNA
• Bel Nome Pharmacy LLC
• Lori Belaire, PTA
• Anne-Stuart Bell
• Diana Romina Benavides
• Rachael Benden, LMFT-A

• Clinical Medical Laboratory in Bryan, TX
• Providers in Bryan, TX by specialty
• Clinical Medical Laboratory in Texas

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