Active NPI
D-Lab Services LLC
- Clinical Medical Laboratory
- Mesquite, TX
National Provider Identifier
1346841202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- D-LAB SERVICES LLC
- Practice address
- 3022 Motley Dr Ste 300
Mesquite, TX 75150-3440 - Phone
- (214) 367-6161
- NPI assigned
- Nov 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerrill Raju
- Title
- Director
- Phone
- (469) 583-2295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3022 Motley Dr Ste 300
Mesquite, TX 75150-3440
Mailing address
3022 Motley Dr Ste 300
Mesquite, TX 75150-3440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | UMEDEX | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210202000913 | TX | Part B Supplier - Independent Clinical Laboratory | 7416361530 | Practice locations: Mesquite, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2198966 | D-Lab Services, LLC | Accreditation | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
3022 Motley Dr
Ste 300
Mesquite, TX 75150
Phone (214) 367-6161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1346841202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 MOTLEY DR STE 300",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751503440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 MOTLEY DR STE 300",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751503440",
"telephone_number": "214-367-6161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D-LAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "RAJU",
"authorized_official_first_name": "JERRILL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "469-583-2295"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "UMEDEX",
"affiliation": "N",
"endpointDescription": "access all information through internet",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "3022 Motley Dr Ste 300",
"city": "Mesquite",
"state": "TX",
"country_code": "US",
"postal_code": "751503440",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.