Organization Active NPI

Lillie'S Lab Solutions

  • Clinical Medical Laboratory
  • Killeen, TX
National Provider Identifier
1255936985
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LILLIE'S LAB SOLUTIONS
Practice address
3901 E Stan Schlueter Loop Ste 103
Killeen, TX 76542-4554
Phone
(254) 833-5126
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Brittney Johnson, CPT
Title
Owner
Phone
(254) 833-5126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3901 E Stan Schlueter Loop Ste 103
Killeen, TX 76542-4554

Mailing address

2607 Inspiration Dr
Killeen, TX 76549-6720
Phone (254) 415-5126

Other practice location 1

4200 E Stan Schlueter Loop Ste E
Killeen, TX 76542-8300
Phone (254) 833-5126

Other names 1

  • Lillie's Lab Solutions Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Killeen Direct

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
45D2189668Lillie'S Lab Solutions3901 East Stan Schlueter Loop Suite 103, Killeen, TX 76542AccreditationJul 29, 2028

National Provider Directory

National Provider Directory

Locations

4200 E Stan Schlueter Loop
Ste E
Killeen, TX 76542
Phone (254) 833-5126

3901 E Stan Schlueter Loop
Ste 103
Killeen, TX 76542
Phone (254) 768-2112

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1255936985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 INSPIRATION DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496720",
            "telephone_number": "254-415-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-833-5126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 E Stan Schlueter Loop Ste E",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765428300",
            "country_code": "US",
            "telephone_number": "254-833-5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LILLIE'S LAB SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-833-5126",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Killeen",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4200 E Stan Schlueter Loop Ste E",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765428300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lillie's Lab Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lillie's Lab Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.