BNB Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BNB DIAGNOSTICS

Practice address

350 Nursery Rd Ste 3102
Spring, TX 77380-4079

Phone

(346) 351-1203

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Brennen D Lark

Title

Director of Business Development

Phone

(504) 494-3543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• BNB Diagnostics, LLC

  • General Practice Physician
  • Spring, TX
  • NPI 1417561358

  O20210610003178

  Same enrollment

Locations

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1770153090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NURSERY RD STE 3102",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773804079",
            "telephone_number": "346-351-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NURSERY RD STE 3102",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773804079",
            "telephone_number": "346-351-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNB DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "LARK",
        "authorized_official_first_name": "BRENNEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "504-494-3543"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Britney Nicole Bluford
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• BNJ Family Investments LLC Dba Hear Again America
• Priscilla Boahemaa, N.P.
• Mary Bob
• Erica Renee Bock, D.D.S.

• Clinical Medical Laboratory in Spring, TX
• Providers in Spring, 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 Aug 5, 2021; 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.