Organization Active NPI

Jubilee Diagnostics Inc

  • Durable Medical Equipment & Medical Supplies
  • Irving, TX
National Provider Identifier
1205731973
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JUBILEE DIAGNOSTICS INC
Practice address
1711 W Irving Blvd Ste 204
Irving, TX 75061-7168
Phone
(618) 350-6647
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Harshith Vasireddy
Title
Manager
Phone
(618) 350-6647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1711 W Irving Blvd Ste 204
Irving, TX 75061-7168

Mailing address

1711 W Irving Blvd Ste 204
Irving, TX 75061-7168

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1205731973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W IRVING BLVD STE 204",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W IRVING BLVD STE 204",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617168",
            "telephone_number": "618-350-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "VASIREDDY",
        "authorized_official_first_name": "HARSHITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-350-6647"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.