Classic Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLASSIC CLINICAL LABORATORY LLC

Practice address

3012 E Hebron Pkwy Ste 112
Carrollton, TX 75010-4461

Phone

(979) 329-0430

NPI assigned

Mar 5, 2026

Organization subpart

No

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

Authorized official

Name

Habeebullah Khan Mohammed

Title

Owner

Phone

(979) 329-0430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1346196177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104461",
            "telephone_number": "979-329-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104461",
            "telephone_number": "979-329-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "KHAN MOHAMMED",
        "authorized_official_first_name": "HABEEBULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-329-0430"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cil Psychological Services PLLC
• Elizabeth Andrea Cisneros
• City of Carrollton
• CKC Holdings LLC
• Daphne Clarke, RN
• Clearview Primary Care PLLC
• Ashley Elizabeth Cleary, DC
• Emma Clement
• Mary Haley Clement, MS SLP
• Audrey Michele Clerk, M.S.,OTRL

• Clinical Medical Laboratory in Carrollton, TX
• Providers in Carrollton, 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 Mar 5, 2026; 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.