JDS Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

JDS LABS LLC

Practice address

1220 Texan TRL Ste 205
Grapevine, TX 76051-4164

Phone

(214) 794-4080

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Damon Roberts

Title

Manager

Phone

(214) 794-4080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1194463208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 TEXAN TRL STE 205",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514164",
            "telephone_number": "214-794-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 TEXAN TRL STE 205",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514164",
            "telephone_number": "214-794-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-794-4080"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nicole Jarboe, PA
• Jason S. Daaboul DDS PA
• Marcin Jastrzab, PT, DPT
• Laura Jauregui, RBT
• Abhiram Javvaji, MD
• Jegede & Associates, PLLC
• Rachelle Jense
• Jessica Ann Jensen, PA-C
• Ronald Jensen, D.O.
• Jentrify RX, LLC

• Clinical Medical Laboratory in Grapevine, TX
• Providers in Grapevine, 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 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.