Nuvo Diagnostics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NUVO DIAGNOSTICS, INC.

Practice address

3409 Oak Grove Ave
Dallas, TX 75204-2332

Phone

(214) 828-4702

Fax

(214) 370-5130

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carl Anthony Lake, MT, CHT

Title

Laboratory Manager

Phone

(214) 828-4702

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Thomas Henderson II, OD

  • Optometrist
  • Dallas, TX
  • NPI 1386700029
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265544407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042311",
            "telephone_number": "214-828-4702",
            "fax_number": "214-370-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 OAK GROVE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042332",
            "telephone_number": "214-828-4702",
            "fax_number": "214-370-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVO DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "214-828-4702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT, CHT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, 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 Aug 22, 2020; 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.