Outspan Lab Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OUTSPAN LAB SERVICES INC

Practice address

4701 Charles PL
# 1534
Plano, TX 75093-7456

Phone

(214) 334-2209

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Isaac K Simotwo, LVN

Title

President

Phone

(214) 334-2209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1174884738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 CHARLES PL",
            "address_2": "# 1534",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937456",
            "telephone_number": "214-334-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CHARLES PL",
            "address_2": "# 1534",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937456",
            "telephone_number": "214-334-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSPAN LAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "SIMOTWO",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-334-2209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leighanna Ounanian, NP-C
• Our Dentist PLLC
• Our Services Hospice LLC
• Out and About Speech PLLC
• Outpatient Sports and Spine Rehabilitation. LLC
• Samuel Ouya, FNP
• Karma E Ovandipour, MSPT
• Curiosity Overbay
• Overhaul Life LLC
• Willie Ow, D.C.

• Clinical Medical Laboratory in Plano, TX
• Providers in Plano, 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 May 30, 2012; 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.