Blue Ribbon 02 Testing LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

BLUE RIBBON 02 TESTING LLC

Practice address

708 Hodge St
Sulphur Springs, TX 75482-4230

Phone

(855) 270-2878

Fax

(855) 258-7422

NPI assigned

Nov 1, 2010

Last updated

Aug 3, 2011By 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

Mrs. Gladys McClanahan

Title

President

Phone

(855) 270-2878

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1902106362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 HODGE ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824230",
            "telephone_number": "855-270-2878",
            "fax_number": "855-258-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 HODGE ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824230",
            "telephone_number": "855-270-2878",
            "fax_number": "855-258-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIBBON 02 TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "MCCLANAHAN",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-270-2878",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OKB6030",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better by the Hour Counseling, PLLC
• Steven Thomas Beuke, APRN, FNP-C
• Lara Jennifer Beverly, P.A.
• Big Country Rehabilitation Inc (Steps 2 Strides of Sulphur Springs)
• Rosie Blackstock, COTA
• Lauren Tye Boatman, LPC
• Robin Boshears, D.C.
• Bright Star Counseling
• Broadway Smiles PC
• Brooks Hearing Clinic

• Pulmonary Disease Physician in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.