Organization Active NPI

Metroplex Adventist Hospital Inc

Doing business as AdventHealth Lab

  • Clinical Medical Laboratory
  • Killeen, TX
National Provider Identifier
1023825445
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
METROPLEX ADVENTIST HOSPITAL INC
Doing business as
AdventHealth Lab
Practice address
2201 Clear Creek Rd
Killeen, TX 76549-4110
Phone
(254) 519-8155
NPI assigned
Dec 18, 2024
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
METROPLEX ADVENTIST HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Kevin Roberts
Title
Ceo
Phone
(254) 519-8165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2201 Clear Creek Rd
Killeen, TX 76549-4110

Mailing address

PO Box 6429
Fort Worth, TX 76115-0429
Phone (254) 519-8165

Other names 1

  • AdventHealth Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metroplex Adventist Hospital Inc8 organizations share this tax ID, including this one
Part of
Metroplex Adventist Hospital Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1023825445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6429",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761150429",
            "telephone_number": "254-519-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-519-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX ADVENTIST HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPLEX ADVENTIST HOSPITAL INC",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-519-8165"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.