I3 Diagnostics LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

I3 DIAGNOSTICS LLC.

Practice address

8402 Sterling St Ste 103
Irving, TX 75063-2566

Phone

(281) 907-2908

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Rahul Nandru

Title

Owner

Phone

(281) 907-2908

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1073278552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 STERLING ST STE 103",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 STERLING ST STE 103",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632566",
            "telephone_number": "281-907-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I3 DIAGNOSTICS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "NANDRU",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-907-2908"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4435372-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.