My Labs Direct, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MY LABS DIRECT, LLC

Practice address

610 Coit Rd Ste 200
Plano, TX 75075-5703

Phone

(877) 355-7978

Fax

(720) 548-3339

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Simons

Title

Ceo

Phone

(877) 355-7978

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1346818218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13023 NE HIGHWAY 99 STE 7-341",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862767",
            "telephone_number": "877-355-7978",
            "fax_number": "720-548-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COIT RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755703",
            "telephone_number": "877-355-7978",
            "fax_number": "720-548-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Research Pkwy Ste 3143",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767043024",
            "country_code": "US",
            "telephone_number": "877-355-7978",
            "fax_number": "720-548-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY LABS DIRECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-355-7978"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.