NPIMap

Organization Active NPI

Medpro Tox LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1336537349
Registry record updated Dec 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDPRO TOX LLC
Practice address
12800 Preston Rd
Dallas, TX 75230-1365
Phone
(214) 868-4767
NPI assigned
Dec 27, 2014
Last updated
Dec 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2014

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

Authorized official

Name
Erwin Cruz, MDNPI 1952308231
Title
Manager
Phone
(214) 868-4767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

12800 Preston Rd
Dallas, TX 75230-1365

Mailing address

12800 Preston Rd
Dallas, TX 75230-1365

National Provider Directory

National Provider Directory
Tax ID family
Medpro Tox2 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

12800 Preston Rd
Dallas, TX 75230
Phone (214) 868-4767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419638400000",
    "number": "1336537349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301365",
            "telephone_number": "214-868-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO TOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-27",
        "last_updated": "2014-12-27",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-868-4767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "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 Dec 27, 2014; 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.