Active NPI
Ajgentryretailers LLC
- Clinical Medical Laboratory
- Austin, TX
National Provider Identifier
1881504041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AJGENTRYRETAILERS LLC
- Practice address
- 5900 Balcones Dr Ste 33616
Austin, TX 78731-4257 - Phone
- (203) 485-6820
- NPI assigned
- Sep 10, 2026
- Last updated
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Justin Gentry
- Title
- Owner
- Phone
- (252) 930-2582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
5900 Balcones Dr Ste 33616
Austin, TX 78731-4257
Mailing address
5900 Balcones Dr Ste 33616
Austin, TX 78731-4257
Phone (203) 485-6820
National Provider Directory
National Provider DirectoryLocations
5900 Balcones Dr
Ste 33616
Austin, TX 78731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1881504041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 33616",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "203-485-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 33616",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "203-485-6820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJGENTRYRETAILERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "GENTRY",
"authorized_official_first_name": "ALEX",
"authorized_official_middle_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-930-2582"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.