Organization Active NPI

Premium Tox Screen LLC

Doing business as Singular Diagnostics

  • Clinical Medical Laboratory
  • Mesquite, TX
National Provider Identifier
1023408077
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PREMIUM TOX SCREEN LLC
Doing business as
Singular Diagnostics
Practice address
2920 Motley Dr Ste 140
Mesquite, TX 75150-3471
Phone
(844) 327-3141
Fax
(844) 622-0933
NPI assigned
Jan 29, 2015
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Mr. Jim Eades
Title
Ceo
Phone
(214) 396-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2920 Motley Dr Ste 140
Mesquite, TX 75150-3471

Mailing address

2920 Motley Dr Ste 140
Mesquite, TX 75150-3471
Phone (844) 327-3141

Other names 1

  • Singular Diagnostics Doing business as

National Provider Directory

National Provider Directory

Locations

2920 Motley Dr
Ste 140
Mesquite, TX 75150
Phone (844) 327-3141

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1023408077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 MOTLEY DR STE 140",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503471",
            "telephone_number": "844-327-3141",
            "fax_number": "844-622-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 MOTLEY DR STE 140",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503471",
            "telephone_number": "844-327-3141",
            "fax_number": "844-622-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM TOX SCREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "EADES",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-396-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singular Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.