Organization Active NPI

Leonard P Gietz

  • Clinical Medical Laboratory
  • Victoria, TX
National Provider Identifier
1942247705
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
E5085 Issued in TX
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

Updated by the provider on Dec 29, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00CG66OtherTXBLUE CROSS
097751401MedicaidTX
CL0510OtherTXBLUE CROSS BLUE SHIELD
130599705MedicaidTX
458283OtherTXMEDICAL LABORATORY
130599701MedicaidTX
690003955OtherTXRAILROAD MEDICARE

Other names 1

  • Regional Medical Laboratory Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.