Ultralab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ULTRALAB

Practice address

350 Westpark Way # 101a
Euless, TX 76040-3964

Phone

(817) 513-1689

NPI assigned

Sep 12, 2021

Last updated

Sep 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdulmajed HajjarabyNPI 1881265130

Title

Lab Director Ms(MLS)

Phone

(817) 513-1689

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdulmajed Ibrahim Hajjaraby, MLS

  • Clinical Laboratory Director (Non-physician)
  • Euless, TX
  • NPI 1881265130

  Clinical Medical Laboratory

  NPD Authorized official

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631404800000",
    "number": "1053080028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY # 101A",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-513-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY # 101A",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-513-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRALAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A",
        "authorized_official_last_name": "HAJJARABY",
        "authorized_official_first_name": "ABDULMAJED",
        "authorized_official_title_or_position": "LAB DIRECTOR MS(MLS)",
        "authorized_official_telephone_number": "817-513-1689"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Euless, TX
• Providers in Euless, 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 Sep 12, 2021; 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.