Organization Active NPI

RGV Vascular Labs LTD

  • Physiological Laboratory
  • McAllen, TX
National Provider Identifier
1689674319
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
RGV VASCULAR LABS LTD
Practice address
1200 E Ridge Rd
Ste 10
McAllen, TX 78503-1527
Phone
(956) 686-2488
Fax
(956) 630-4964
NPI assigned
Jul 22, 2005
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Mr. Gerald M McCall, RN RVT
Title
Technical Director
Phone
(956) 686-2488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1200 E Ridge Rd
Ste 10
McAllen, TX 78503-1527

Mailing address

1200 E Ridge Rd
Ste 10
McAllen, TX 78503-1527
Phone (956) 686-2488

Other identifiers 3

IdentifierTypeStateIssuer
1095713-01MedicaidTX
0029CCOtherTXBCBS
470000276OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1200 E Ridge Rd
Ste 10
McAllen, TX 78503
Phone (956) 686-2488

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1689674319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGE RD",
            "address_2": "STE 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031527",
            "telephone_number": "956-686-2488",
            "fax_number": "956-630-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGE RD",
            "address_2": "STE 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031527",
            "telephone_number": "956-686-2488",
            "fax_number": "956-630-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV VASCULAR LABS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "956-686-2488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN RVT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1095713-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0029CC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470000276",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.