Organization Active NPI

Renew Toxicology

  • Clinical Medical Laboratory
  • Fort Worth, TX
National Provider Identifier
1760874077
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jun 20, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.