Clinical Reference Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D201105 Issued in TX

Legal business name

CLINICAL REFERENCE LABORATORY LLC

Practice address

216 W Nolana
McAllen, TX 78504-2513

Phone

(956) 225-5896

NPI assigned

Aug 19, 2010

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Cottrell

Title

Owner

Phone

(956) 225-5896

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fergus Dowling, PT

  • Physical Therapist
  • McAllen, TX
  • NPI 1457571275
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1841506516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W NOLANA",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042513",
            "telephone_number": "956-225-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W NOLANA",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042513",
            "telephone_number": "956-225-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL REFERENCE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-225-5896"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D201105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "45D2011051",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erelle J Claveria, P.T
• Clear Focus Vision Associates, PA
• Cleveland Health Care, LLC (Vital Connections)
• Pamela Cleveland, RN, FNP
• Clinica San Martin de Porres
• Nora J Coast, CRNA
• Francisco Javier Cobarrubias, OTR
• Helena S Cobos, M.D.
• Coimbra Family Medical Center PA
• Maria De Lourdes M. C. Coimbra, M.D.

• Clinical Medical Laboratory in McAllen, TX
• Providers in McAllen, 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 23, 2010; 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.