Ivf Laboratories of Fort Worth LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IVF LABORATORIES OF FORT WORTH LLC

Practice address

1800 Mistletoe Blvd
Fort Worth, TX 76104-4062

Phone

(405) 305-6252

NPI assigned

Dec 16, 2020

Organization subpart

No

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

Authorized official

Name

Cassie Miller

Title

Director of Risk Management

Phone

(405) 305-6252

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Robert Alan Kaufmann, M.D.

  • Reproductive Endocrinology Physician
  • Fort Worth, TX
  • NPI 1780637983
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1710573571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MISTLETOE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044062",
            "telephone_number": "405-305-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MISTLETOE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044062",
            "telephone_number": "405-305-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVF LABORATORIES OF FORT WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "405-305-6252"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itv It Takes a Village Inc
• Jonathan L. Ives, PA
• Virginia Ives, RD, LD, CDE, LPC
• Danielle Ivey, MD
• Tracy Marie Ivey
• Amber Ivie, RDLD
• Ivmedco, Inc
• Lydia Ann Ivory, LPCI
• Delany Ivy
• Reid E Ivy, CRNA

• Clinical Medical Laboratory in Fort Worth, TX
• Providers in Fort Worth, 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 Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.