Amerigene PGT, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D054300 Issued in TX

Legal business name

AMERIGENE PGT, LLC

Practice address

7707 Fannin St
Houston, TX 77054-1926

Phone

(205) 699-1632

Fax

(866) 546-2124

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Jacki Bailey

Title

Manager

Phone

(205) 699-1632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1972845527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST",
            "address_2": "SUITE 203A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541926",
            "telephone_number": "205-699-1632",
            "fax_number": "866-546-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541926",
            "telephone_number": "205-699-1632",
            "fax_number": "866-546-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIGENE PGT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-699-1632"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D054300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, 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 Mar 21, 2013; 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.