Nationwide Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NATIONWIDE LAB INC

Practice address

4600 Fuller Dr Ste 175
Irving, TX 75038-6551

Phone

(682) 367-2214

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Kristina Sirekanian

Title

President

Phone

(682) 367-2214

Specialties & licenses 1

Addresses

Other names 1

• NATIONWIDE LAB INC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1104640986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 FULLER DR STE 175",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386551",
            "telephone_number": "682-367-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 FULLER DR STE 175",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386551",
            "telephone_number": "682-367-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "SIREKANIAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-367-2214"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATIONWIDE LAB INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• National Medical Equipment LLC
• National Medical Professionals of Arizona, LLC
• National Medical Professionals of Colorado, PLLC
• National Medical Professionals of Louisiana Professional LLC
• National Vision, Inc.
• Natural Foods and Nutrition Consulting, LLC
• Elizabeth Nava, DDS
• Rose Marie Navarrete
• Navarro Orthodontix of Irving, PC
• Marissa Nichole Navarro

• Clinical Medical Laboratory in Irving, TX
• Providers in Irving, 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 Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.