Orthotic Lab
LBN: Orthotic Lab
Orthotic Lab is an health care organization with primary practice located at 800 8Th Ave Ste 536 , Fort Worth TX 76104-2604. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty.
Orthotic Lab can be contacted via phone (817) 332-5500, or through Rhodes, Kevin via phone (817) 332-5500.
Contact Information
Primary practice address
800 8Th Ave Ste 536
Fort Worth TX 76104-2604
Phone: (817) 332-5500
Fax: (817) 332-5503
Website:
Authorized official contact:
Name: Rhodes, Kevin Doctor of Podiatric Medicine (DPM)
Phone: (817) 332-5500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1063990927 |
|---|---|
| LBN Legal business name | Orthotic Lab |
| DBA Doing business as | |
| Authorized official | Rhodes, Kevin Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 2nd, 2018 |
| Last updated | Aug 2nd, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063990927 | NPPES |
| Texas | MEDICAID | 103849906 |
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