Organization Active NPI

Inova Diagnostics LLC

  • Clinical Medical Laboratory
  • Carrollton, TX
National Provider Identifier
1063342152
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INOVA DIAGNOSTICS LLC
Practice address
4125 Fairway Dr Ste 150
Carrollton, TX 75010-6511
Phone
(940) 999-0120
Fax
(945) 223-2308
NPI assigned
May 20, 2026
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Philip J Motevosian
Title
Owner
Phone
(940) 999-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4125 Fairway Dr Ste 150
Carrollton, TX 75010-6511

Mailing address

4125 Fairway Dr Ste 150
Carrollton, TX 75010-6511
Phone (940) 999-0120

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
45D2344455Inova Diagnostics LLC4125 Fairway Drive Ste 150, Carrollton, TX 75010RegistrationMay 21, 2028

National Provider Directory

National Provider Directory

Locations

4125 Fairway Dr
Ste 150
Carrollton, TX 75010
Phone (940) 999-0120

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1063342152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR STE 150",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106511",
            "telephone_number": "940-999-0120",
            "fax_number": "945-223-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR STE 150",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106511",
            "telephone_number": "940-999-0120",
            "fax_number": "945-223-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "MOTEVOSIAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-999-0120"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.