Forensic 360 Laboratory

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

Legal business name

FORENSIC 360 LABORATORY

Practice address

1801 N Hampton Rd Ste 270
Desoto, TX 75115-2399

Phone

(463) 222-1200

NPI assigned

Aug 30, 2019

Organization subpart

No

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

Authorized official

Name

Cindy Johnson

Title

Program Administrator

Phone

(469) 222-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1093363228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 270",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 270",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152399",
            "telephone_number": "463-222-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC 360 LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "469-222-1200"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Forensic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria A Fobbs, LMSW
• Focus Medical Housecall PLLC
• Cesar Paulin Foding Fotso
• Nakia Ford
• Kusi Fordjour, MD
• Forensic 360 Laboratory Diagnostic
• Forever Bee Health-E Concierge, LLC
• Forever Caring Hands, LLC
• Brittney Fortenberry
• Martha Louise Foster-Wilson, L.P.C.

• Forensic Pathology Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Forensic Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.