Organization Active NPI

Texas Medical Lab LLC

  • Clinical Medical Laboratory
  • Mesquite, TX
National Provider Identifier
1073227377
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TEXAS MEDICAL LAB LLC
Practice address
925 N Bryan Belt Line Rd # 105
Mesquite, TX 75149-2541
Phone
(972) 884-5100
Fax
(972) 288-7445
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Mr. Dwayne Dan Morrow Jr.
Title
Office Manager
Phone
(972) 884-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

925 N Bryan Belt Line Rd # 105
Mesquite, TX 75149-2541

Mailing address

925 N Bryan Belt Line Rd # 105
Mesquite, TX 75149-2541
Phone (972) 884-5100

Other names 1

  • TEXAS MEDICAL LAB LLC Former legal business name

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
45D2273646Texas Medical Lab, LLC925 N Bryan Belt Line Rd #105, Mesquite, TX 75149Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1073227377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N BRYAN BELT LINE RD # 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492541",
            "telephone_number": "972-884-5100",
            "fax_number": "972-288-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N BRYAN BELT LINE RD # 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492541",
            "telephone_number": "972-884-5100",
            "fax_number": "972-288-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-884-5100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS MEDICAL LAB LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "TEXAS MEDICAL LAB LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.