Rocky Ridge Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ROCKY RIDGE DIAGNOSTICS LLC

Practice address

8131 Lyndon B Johnson Fwy # 260
Dallas, TX 75251-1311

Phone

(214) 999-0800

Fax

(469) 270-0778

NPI assigned

Dec 15, 2023

Organization subpart

No

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

Authorized official

Name

Justin George

Title

Ceo

Phone

(214) 999-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1275301517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 LYNDON B JOHNSON FWY # 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511311",
            "telephone_number": "214-999-0800",
            "fax_number": "469-270-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 LYNDON B JOHNSON FWY # 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511311",
            "telephone_number": "214-999-0800",
            "fax_number": "469-270-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY RIDGE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-999-0800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockwall Wellness Center, LLP
• Donna R Rockwell, CRNA,PC
• Jill Marie Rockwell, RD, LD, CNSD
• Kemearea Kemajia Rockwell
• Richard Lee Rockwell, RRT
• Christine Marie Rocque, DPT
• Rod J Rohrich MD PA
• Tammie Rodaway, NNP
• Susan Joan Rodder, MS RD LD
• Rachel Rode, M.S., LPC

• 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 Dec 15, 2023; 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.