Organization Active NPI

Unicare Lab Testing LLC

  • Clinical Medical Laboratory
  • Cleburne, TX
National Provider Identifier
1710754304
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNICARE LAB TESTING LLC
Practice address
108 N Pendell Ave
Cleburne, TX 76033-4838
Phone
(817) 526-1120
Fax
(817) 666-1011
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Rosibel RodriguezNPI 1700352275
Title
Ma
Phone
(817) 526-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

108 N Pendell Ave
Cleburne, TX 76033-4838

Mailing address

108 N Pendell Ave
Cleburne, TX 76033-4838
Phone (817) 526-1120

Other names 1

  • UNICARE LAB TESTING LLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2161441Unicare Lab Testing LLC108 N Pendell St, Cleburne, TX 76033Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1710754304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N PENDELL AVE",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334838",
            "telephone_number": "817-526-1120",
            "fax_number": "817-666-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N PENDELL AVE",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334838",
            "telephone_number": "817-526-1120",
            "fax_number": "817-666-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICARE LAB TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROSIBEL",
        "authorized_official_title_or_position": "MA",
        "authorized_official_telephone_number": "817-526-1120"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNICARE LAB TESTING LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.