Organization Active NPI

Peridot Ventures LLC

  • Clinical Medical Laboratory
  • Denton, TX
National Provider Identifier
1063192896
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PERIDOT VENTURES LLC
Practice address
2721 Shoreline Dr Ste 120
Denton, TX 76210-0170
Phone
(469) 648-3300
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Quanique Johnson
Title
Owner
Phone
(972) 895-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2721 Shoreline Dr Ste 120
Denton, TX 76210-0170

Mailing address

900 S Preston Rd Ste 50-116
Prosper, TX 75078-5143
Phone (972) 895-3456

Other names 1

  • ARCpoint Labs of Denton Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2286045Arcpoint Labs of Denton2721 Shoreline Dr Suite 120, Denton, TX 76210Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Locations

2721 Shoreline Dr
Ste 120
Denton, TX 76210
Phone (469) 648-3300

900 S Preston Rd
Ste 50116
Prosper, TX 75078

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1063192896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PRESTON RD STE 50-116",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750785143",
            "telephone_number": "972-895-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SHORELINE DR STE 120",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100170",
            "telephone_number": "469-648-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIDOT VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "QUANIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-895-3456"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCpoint Labs of Denton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.