Spectrum Bio Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SPECTRUM BIO LAB INC

Practice address

2410 Luna Rd Ste 114
Carrollton, TX 75006-6536

Phone

(469) 930-3690

Fax

(469) 935-6877

NPI assigned

Dec 14, 2023

Organization subpart

No

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

Authorized official

Name

Stanley Thomas

Title

Director/Authorized Official

Phone

(972) 839-3461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1023886595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 LUNA RD STE 248",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066578",
            "telephone_number": "469-930-3690",
            "fax_number": "469-935-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 LUNA RD STE 114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066536",
            "telephone_number": "469-930-3690",
            "fax_number": "469-935-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM BIO LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "DIRECTOR/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-839-3461"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Carrollton, TX
• Providers in Carrollton, 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 Jan 17, 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.