Progenika, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROGENIKA, INC

Practice address

201 Carlson Circle
San Marcos, TX 78666

Phone

(512) 749-1649

Fax

(512) 749-1677

NPI assigned

Sep 15, 2008

Last updated

Nov 25, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PROGENIKA BIOPHARMA, S.A.As reported in NPPES

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

Authorized official

Name

Estibaliz Olano, PHD

Title

General Supervisor

Phone

(512) 749-1649

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1861641888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CARLSON CIRCLE",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78666",
            "telephone_number": "512-749-1649",
            "fax_number": "512-749-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CARLSON CIRCLE",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78666",
            "telephone_number": "512-749-1649",
            "fax_number": "512-749-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGENIKA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGENIKA BIOPHARMA, S.A.",
        "enumeration_date": "2008-09-15",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "OLANO",
        "authorized_official_first_name": "ESTIBALIZ",
        "authorized_official_title_or_position": "GENERAL SUPERVISOR",
        "authorized_official_telephone_number": "512-749-1649",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier ER Plus, San Marcos, LLC
• Susan Diane Presley, PHARMD
• Cory Preuss, FNP-C
• Pamela Priest, PT
• Jasmine Prince, M.A., LPC-A
• Benjamin Provost
• Kelsea Puckett, LPC
• Bianca Nicole Puleo, LMSW
• Daniel Clay Purswell, DDS
• Michele Frances Purvin, LCSW, LCDC

• Clinical Medical Laboratory in San Marcos, TX
• Providers in San Marcos, 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 25, 2015; 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.