Your Lab Test TX

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

YOUR LAB TEST TX

Doing business as

Your Lab Test

Practice address

4900 Pacific Dr Apt 224
Arlington, TX 76001-2880

Phone

(214) 684-9182

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Clarissia Jones

Title

Owner

Phone

(214) 684-9182

Specialties & licenses 1

Addresses

Other names 1

• YOUR LAB TEST Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1265173389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 E ROSEMEADE PKWY # 390",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072637",
            "telephone_number": "214-684-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 PACIFIC DR APT 224",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760012880",
            "telephone_number": "214-684-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LAB TEST TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CLARISSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-684-9182"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UNKNOWN",
            "affiliation": "N",
            "address_1": "1846 E Rosemeade Pkwy # 390",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750072637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UNKNOWN",
            "affiliation": "N",
            "address_1": "1846 E Rosemeade Pkwy # 390",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750072637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "YOUR LAB TEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Arlington, TX
• Providers in Arlington, 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 Apr 5, 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.