NPIMap

Organization Active NPI

Mid-Valley Pathology PLLC

  • Clinical Medical Laboratory
  • Weslaco, TX
National Provider Identifier
1700345493
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MID-VALLEY PATHOLOGY PLLC
Practice address
505 Angelita Dr Ste 6
Weslaco, TX 78599-4790
Phone
(956) 854-4248
Fax
(956) 520-8248
NPI assigned
Mar 13, 2019
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Dr. Rosemary A Recavarren Asencios, MD
Title
Authorized Official
Phone
(956) 854-4248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

505 Angelita Dr Ste 6
Weslaco, TX 78599-4790

Mailing address

505 Angelita Dr Ste 6
Weslaco, TX 78599-4790
Phone (956) 854-4248

National Provider Directory

National Provider Directory

Locations

2300 W Pike Blvd
Ste 103B
Weslaco, TX 78596
Phone (956) 317-1721

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1700345493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ANGELITA DR STE 6",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785994790",
            "telephone_number": "956-854-4248",
            "fax_number": "956-520-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ANGELITA DR STE 6",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785994790",
            "telephone_number": "956-854-4248",
            "fax_number": "956-520-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "RECAVARREN ASENCIOS",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "956-854-4248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.