Active NPI
Neva Diagnostics
- Clinical Medical Laboratory
- Farmers Branch, TX
National Provider Identifier
1104569730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEVA DIAGNOSTICS
- Practice address
- 12200 Ford Rd Ste A102
Farmers Branch, TX 75234-7244 - Phone
- (817) 886-7292
- Fax
- (817) 886-7291
- NPI assigned
- Apr 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan Lopez
- Title
- Owner
- Phone
- (817) 886-7292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
12200 Ford Rd Ste A102
Farmers Branch, TX 75234-7244
Mailing address
12200 Ford Rd Ste A102
Farmers Branch, TX 75234-7244
Phone (817) 886-7292
National Provider Directory
National Provider DirectoryLocations
12200 Ford Rd
#A102
Farmers Branch, TX 75234
12200 Ford Rd
Ste A102
Farmers Brnch, TX 75234
Phone (754) 367-5740
771 E Southlake Blvd
Ste 214
Southlake, TX 76092
Phone (817) 886-7292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699488000000",
"number": "1104569730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 FORD RD STE A102",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752347244",
"telephone_number": "817-886-7292",
"fax_number": "817-886-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 FORD RD STE A102",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752347244",
"telephone_number": "817-886-7292",
"fax_number": "817-886-7291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVA DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-20",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-886-7292"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.