Organization Active NPI

Neva Diagnostics

  • Clinical Medical Laboratory
  • Farmers Branch, TX
National Provider Identifier
1104569730
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Nov 9, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.