US Diagnostic Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

US DIAGNOSTIC LABS

Practice address

328 W Main St Ste 11
Azle, TX 76020-2900

Phone

(844) 875-2270

Fax

(844) 875-2270

NPI assigned

Mar 18, 2022

Last updated

Mar 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Punit Patel

Title

Manager

Phone

(184) 487-5227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1194474106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W MAIN ST STE 11",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202900",
            "telephone_number": "844-875-2270",
            "fax_number": "844-875-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W MAIN ST STE 11",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202900",
            "telephone_number": "844-875-2270",
            "fax_number": "844-875-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DIAGNOSTIC LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PUNIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "184-487-5227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bichlien Jenny Tran, RPH
• Anne Freda Trapp, APRN
• Jonathan Tucker, LAT
• Teresa Lea Turgeon, PA
• Sheila Turner, LCDC
• Veena Dental
• Ricky Wade, FNP
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-5359)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-5359)
• Walgreen Co (Walgreens #09500)

• Clinical Medical Laboratory in Azle, TX
• Providers in Azle, 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 Mar 28, 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.

Verify at the official NPI Registry.