Organization Active NPI

North Texas Rapid PCR, LLC

  • Clinical Medical Laboratory
  • Fort Worth, TX
National Provider Identifier
1245825686
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NORTH TEXAS RAPID PCR, LLC
Practice address
1001 12TH Ave Ste 248
Fort Worth, TX 76104-3926
Phone
(817) 989-2098
Fax
(817) 989-2093
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Christopher Pratt, DO
Title
Owner/Manager
Phone
(817) 456-4021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1001 12TH Ave Ste 248
Fort Worth, TX 76104-3926

Mailing address

1001 12TH Ave Ste 248
Fort Worth, TX 76104-3926
Phone (817) 989-2098

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NTRPCR@GMAIL.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401000708 TX Part B Supplier - Independent Clinical Laboratory 5294142618 Practice locations: Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1089322Texas Healthcare, PLLC1001 12TH Ave Suite 140, Fort Worth, TX 76104Certificate of waiverSep 15, 2026
45D2213432North Texas Rapid PCR, LLC1001 12TH Ave Ste 248, Fort Worth, TX 76104AccreditationJul 31, 2026

National Provider Directory

National Provider Directory

Locations

1001 12th Ave
Ste 248
Fort Worth, TX 76104
Phone (817) 757-9988

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1245825686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 248",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-989-2098",
            "fax_number": "817-989-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 248",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-989-2098",
            "fax_number": "817-989-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS RAPID PCR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "817-456-4021",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NTRPCR@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "ENCRIPTED EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 12th Ave Ste 248",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.