Active NPI
Yellowstone Labs, LLC
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1184201220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- YELLOWSTONE LABS, LLC
- Practice address
- 4300 N Central Expy Ste 300
Dallas, TX 75206-6543 - Phone
- (469) 424-1353
- NPI assigned
- Mar 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Mendez
- Title
- Member
- Phone
- (469) 424-1353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4300 N Central Expy Ste 300
Dallas, TX 75206-6543
Mailing address
4300 N Central Expy Ste 300
Dallas, TX 75206-6543
National Provider Directory
National Provider DirectoryLocations
5510 Abrams Rd
Ste 119C
Dallas, TX 75214
4300 N Central Expy
Ste 300
Dallas, TX 75206
Phone (407) 761-8640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1184201220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N CENTRAL EXPY STE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752066543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N CENTRAL EXPY STE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752066543",
"telephone_number": "469-424-1353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YELLOWSTONE LABS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-25",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "469-424-1353",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.