Active NPI
Renew Toxicology
- Clinical Medical Laboratory
- Fort Worth, TX
National Provider Identifier
1760874077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- RENEW TOXICOLOGY
- Practice address
- 5009 S Hulen St
Fort Worth, TX 76132-1967 - Phone
- (817) 717-7605
- NPI assigned
- Feb 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison Reeves
- Title
- Director of Operations
- Phone
- (817) 360-4829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
5009 S Hulen St
Fort Worth, TX 76132-1967
Mailing address
2310 W Interstate 20 Ste 202
Arlington, TX 76017-1678
Phone (817) 717-7605
National Provider Directory
National Provider DirectoryLocations
2310 W Interstate 20
Ste 202
Arlington, TX 76017
5009 S Hulen St
Fort Worth, TX 76132
Phone (817) 717-7605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466380800000",
"number": "1760874077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 W INTERSTATE 20 STE 202",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760171678",
"telephone_number": "817-717-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761321967",
"telephone_number": "817-717-7605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW TOXICOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-23",
"last_updated": "2016-06-20",
"status": "A",
"authorized_official_last_name": "REEVES",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "817-360-4829"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.