Organization Active NPI

Abs Labs LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1144671223
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
21975
Legal business name
ABS LABS LLC
Practice address
2404 Arbuckle CT
Dallas, TX 75229-4506
Phone
(214) 364-6850
NPI assigned
Jun 29, 2016
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Jared Rochwerg
Title
Authorized Person
Phone
(917) 817-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 21975 Primary

Addresses

Primary practice location

2404 Arbuckle CT
Dallas, TX 75229-4506

Mailing address

1600 Wallace Dr
Suite 100
Carrollton, TX 75006-8006

Other identifiers 1

IdentifierTypeStateIssuer
21975OtherCOLA

National Provider Directory

National Provider Directory

Locations

2404 Arbuckle Ct
Dallas, TX 75229
Phone (214) 364-6850

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1144671223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WALLACE DR",
            "address_2": "SUITE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750068006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 ARBUCKLE CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294506",
            "telephone_number": "214-364-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "ROCHWERG",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "917-817-6482"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "21975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "21975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.