Valley Baptist Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VALLEY BAPTIST LAB SERVICES LLC

Doing business as

Community Reference Laboratory

Practice address

2121 Pease St
Suite 102
Harlingen, TX 78550-8348

Phone

(956) 389-1776

Fax

(956) 389-1137

NPI assigned

Dec 4, 2008

Organization subpart

No

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

Authorized official

Name

Carol A Bailey

Title

Vice President

Phone

(615) 665-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Reference Laboratory Doing business as

Locations

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1912142019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD",
            "address_2": "SUITE 100 - ATTN: CAROL BAILEY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156197",
            "telephone_number": "615-665-6000",
            "fax_number": "615-665-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 PEASE ST",
            "address_2": "SUITE 102",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508348",
            "telephone_number": "956-389-1776",
            "fax_number": "956-389-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY BAPTIST LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-665-6000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295881101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hilda Alicia Vallejo
• Jessica Vallejo
• Valley AIDS Council
• Valley AIDS Council
• Valley Baptist Ambulatory Surgery Center, LLC (Platinum Surgery Center)
• Valley Baptist Management Services Corporation (Community Reference Lab)
• Valley Baptist Management Services Corporation
• Valley Baptist Medical Center
• Valley Baptist Medical Center
• Valley Baptist Medical Center

• Clinical Medical Laboratory in Harlingen, TX
• Providers in Harlingen, 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 10, 2016; 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.