Organization Active NPI

Monarch Diagnostics Inc.

  • Clinical Medical Laboratory
  • Addison, TX
National Provider Identifier
1306739909
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MONARCH DIAGNOSTICS INC.
Practice address
4490 Beltway Dr
Addison, TX 75001-3705
Phone
(657) 237-6399
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Julia Allison Vandinter
Title
Executive Director of Billing
Phone
(949) 966-1412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4490 Beltway Dr
Addison, TX 75001-3705

Mailing address

17791 Sky Park Cir Ste a
Irvine, CA 92614-6118
Phone (949) 939-2893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826001081 TX Part B Supplier - Independent Clinical Laboratory 5395137533 Practice locations: Addison, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
45D2326120Monarch Diagnostics Inc.4490 Beltway Dr., Addison, TX 75001RegistrationJun 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Monarch Diagnostics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17791 Sky Park Cir
Ste A
Irvine, CA 92614
Phone (949) 939-2893

18023 Sky Park Cir
Ste H
Irvine, CA 92614
Phone (714) 847-0010

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1306739909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17791 SKY PARK CIR STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146118",
            "telephone_number": "949-939-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 BELTWAY DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013705",
            "telephone_number": "657-237-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "VANDINTER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "949-966-1412"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.