Realtime Laboratories, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

REALTIME LABORATORIES, INC

Practice address

4100 Fairway Dr Ste 600
Carrollton, TX 75010-6539

Phone

(972) 492-0419

Fax

(972) 243-7759

NPI assigned

Oct 3, 2011

Organization subpart

No

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

Authorized official

Name

Jack Frausing

Title

Ceo

Phone

(206) 365-1256

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Mycodart Inc

  • Clinical Medical Laboratory
  • Carrollton, TX
  • NPI 1023653623

  Member Of

  NPD member

Locations

Practitioners 1

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

• Shalini Muralidhar, PHD

  • Clinical Laboratory Director (Non-physician)
  • Carrollton, TX
  • NPI 1952005670
  NPD

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1093099558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 KING ARTHUR BLVD STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565833",
            "telephone_number": "972-492-0419",
            "fax_number": "972-243-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR STE 600",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106539",
            "telephone_number": "972-492-0419",
            "fax_number": "972-243-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALTIME LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "FRAUSING",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-365-1256"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105744-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reshma Rao
• Roxanne Rasdall, RPH
• Virginia Rathbun
• Austin Rawlins
• Mark K Ray, M.D.
• Rebalance Wellness Centers
• Rebalance Wellness Centers, LLC
• Rebirth Counseling, PLLC
• Rebirth Inc.
• Lara Rechnitzer, DPT

• Clinical Medical Laboratory in Carrollton, TX
• Providers in Carrollton, 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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.