NPIMap

Organization Active NPI

Leecore Laboratory

  • Clinical Medical Laboratory
  • La Marque, TX
National Provider Identifier
1982994620
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
63395 Issued in TX
Legal business name
LEECORE LABORATORY
Practice address
2607 Cedar Dr
La Marque, TX 77568-3939
Phone
(409) 293-6058
Fax
(409) 655-5833
NPI assigned
Apr 14, 2011
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Elizabeth Rene Jones
Title
Certified Phlebotomist
Phone
(409) 293-6058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 63395 TX Primary

Addresses

Primary practice location

2607 Cedar Dr
La Marque, TX 77568-3939

Mailing address

2607 Cedar Dr
La Marque, TX 77568-3939
Phone (409) 293-6058

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1982994620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 CEDAR DR",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775683939",
            "telephone_number": "409-293-6058",
            "fax_number": "409-655-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 CEDAR DR",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775683939",
            "telephone_number": "409-293-6058",
            "fax_number": "409-655-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEECORE LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CERTIFIED PHLEBOTOMIST",
        "authorized_official_telephone_number": "409-293-6058"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "63395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Marque, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.