Regional Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

REGIONAL LABORATORY, LLC

Practice address

2110 N Navarro St
Victoria, TX 77901-4829

Phone

(361) 575-4821

Fax

(361) 576-0871

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. James Paul Gietz

Title

President

Phone

(361) 575-4821

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1730617523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420009",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772420009",
            "telephone_number": "713-559-6929",
            "fax_number": "713-559-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014829",
            "telephone_number": "361-575-4821",
            "fax_number": "361-576-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "GIETZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-575-4821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375990401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Rees, O.T.R.
• Regency IHS NPS LLC
• Region III Education Service Center
• Regional Employee Assistance Program
• Regional Employee Assistance Program Inc
• Regional Medical Laboratory
• Regional Pathology Associates PLLC
• Regional Pathology Associates, PLLC
• Felix F Regueira, M.D.
• Stephanie Reichert-Garza

• Clinical Medical Laboratory in Victoria, TX
• Providers in Victoria, 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 Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.