Active NPI
Leonard P Gietz
- Clinical Medical Laboratory
- Victoria, TX
National Provider Identifier
1942247705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- E5085
- Legal business name
- LEONARD P GIETZ
- Practice address
- 2710 Hospital Dr Ste 106
Victoria, TX 77901-5743 - Phone
- (361) 575-0636
- Fax
- (361) 575-0871
- NPI assigned
- Jun 1, 2006
- 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
- Beverly Helmers
- Title
- Billing Clerk
- Phone
- (361) 575-4821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | E5085 | TX | Primary |
Addresses
Primary practice location
2710 Hospital Dr Ste 106
Victoria, TX 77901-5743
Mailing address
PO Box 3784
Victoria, TX 77903-3784
Phone (361) 575-4821
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00CG66 | Other | TX | BLUE CROSS |
| 097751401 | Medicaid | TX | |
| CL0510 | Other | TX | BLUE CROSS BLUE SHIELD |
| 130599705 | Medicaid | TX | |
| 458283 | Other | TX | MEDICAL LABORATORY |
| 130599701 | Medicaid | TX | |
| 690003955 | Other | TX | RAILROAD MEDICARE |
Other names 1
- Regional Medical Laboratory
National Provider Directory
National Provider DirectoryLocations
2710 Hospital Dr
Ste 106
Victoria, TX 77901
Phone (361) 576-5102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1942247705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3784",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779033784",
"telephone_number": "361-575-4821",
"fax_number": "361-575-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 HOSPITAL DR STE 106",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015743",
"telephone_number": "361-575-0636",
"fax_number": "361-575-0871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD P GIETZ",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "HELMERS",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "BILLING CLERK",
"authorized_official_telephone_number": "361-575-4821"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": "E5085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00CG66",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097751401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "CL0510",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130599705",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LABORATORY",
"identifier": "458283",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130599701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "690003955",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regional Medical Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.