Organization Active NPI

Accu-Check Diagnostics LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1306609094
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ACCU-CHECK DIAGNOSTICS LLC
Practice address
13140 Coit Rd Ste 211
Dallas, TX 75240-5790
Phone
(469) 935-4481
Fax
(469) 942-8036
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Rashid H Abdoh
Title
Authorized Official
Phone
(469) 935-4481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

13140 Coit Rd Ste 211
Dallas, TX 75240-5790

Mailing address

13140 Coit Rd Ste 211
Dallas, TX 75240-5790
Phone (469) 935-4481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229003673 TX Part B Supplier - Independent Clinical Laboratory 7618312547 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

13140 Coit Rd
Ste 211
Dallas, TX 75240
Phone (469) 935-4481

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1306609094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405790",
            "telephone_number": "469-935-4481",
            "fax_number": "469-942-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405790",
            "telephone_number": "469-935-4481",
            "fax_number": "469-942-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCU-CHECK DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "ABDOH",
        "authorized_official_first_name": "RASHID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-935-4481"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.