Organization Active NPI

Full Spectrum Laboratories LLC

  • Clinical Medical Laboratory
  • Sherman, TX
National Provider Identifier
1184090342
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FULL SPECTRUM LABORATORIES LLC
Practice address
2624 N Loy Lake Rd
Suite B
Sherman, TX 75090-2515
Phone
(903) 487-2248
Fax
(903) 487-2306
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Prof. Prakasah Krishnaraj
Title
Cfo
Phone
(903) 487-2248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2624 N Loy Lake Rd
Suite B
Sherman, TX 75090-2515

Mailing address

PO Box 837
Howe, TX 75459-0837
Phone (903) 487-2248

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1184090342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "903-487-2248",
            "fax_number": "903-487-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 N LOY LAKE RD",
            "address_2": "SUITE B",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902515",
            "telephone_number": "903-487-2248",
            "fax_number": "903-487-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "KRISHNARAJ",
        "authorized_official_first_name": "PRAKASAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-487-2248",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.