Organization Active NPI

Ro Smock & Associates LLC

Doing business as Atlantic Labs llc

  • Clinical Medical Laboratory
  • Addison, TX
National Provider Identifier
1174189849
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RO SMOCK & ASSOCIATES LLC
Doing business as
Atlantic Labs llc
Practice address
4310 Wiley Post Rd Ste 100
Addison, TX 75001-4295
Phone
(505) 255-1190
Fax
(505) 345-5799
NPI assigned
May 17, 2019
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Thomas Isley
Title
Ceo
Phone
(505) 255-1190

Specialties & licenses 1

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

Addresses

Primary practice location

4310 Wiley Post Rd Ste 100
Addison, TX 75001-4295

Mailing address

4310 Wiley Post Rd Ste 100
Addison, TX 75001-4295
Phone (505) 255-1190

Other names 1

  • Atlantic Labs llc Doing business as

National Provider Directory

National Provider Directory

Locations

4213 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (281) 645-0292

4310 Wiley Post Rd
Ste 100
Addison, TX 75001
Phone (505) 255-1190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1174189849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 WILEY POST RD STE 100",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014295",
            "telephone_number": "505-255-1190",
            "fax_number": "505-345-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 WILEY POST RD STE 100",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014295",
            "telephone_number": "505-255-1190",
            "fax_number": "505-345-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RO SMOCK & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "ISLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-255-1190"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Labs llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.