Organization Active NPI

Medina Health Servcices

  • Phlebotomy Technician
  • College Station, TX
National Provider Identifier
1881091320
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
MEDINA HEALTH SERVCICES
Practice address
3508 Farah Dr
College Station, TX 77845-5356
Phone
(806) 577-6745
Fax
(979) 485-9562
NPI assigned
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Rosario Medina
Title
Phlebotomist
Phone
(979) 739-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

3508 Farah Dr
College Station, TX 77845-5356

Mailing address

3508 Farah Dr
College Station, TX 77845-5356
Phone (806) 577-6745

Other names 1

  • LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1881091320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 FARAH DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455356",
            "telephone_number": "806-577-6745",
            "fax_number": "979-485-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FARAH DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455356",
            "telephone_number": "806-577-6745",
            "fax_number": "979-485-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA HEALTH SERVCICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "979-739-4686"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.