Active NPI
P4 Clinical Labs LLC
- Clinical Medical Laboratory
- Farmers Branch, TX
National Provider Identifier
1356250740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- P4 CLINICAL LABS LLC
- Practice address
- 12005 Ford Rd Ste 540
Farmers Branch, TX 75234-7269 - Phone
- (945) 293-2513
- Fax
- (469) 372-0336
- NPI assigned
- Sep 2, 2026
- Last updated
- Oct 9, 2026
- 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
- Etai Sooliman
- Title
- Ceo
- Phone
- (773) 322-6497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
12005 Ford Rd Ste 540
Farmers Branch, TX 75234-7269
Mailing address
8235 Christiana Ave
Skokie, IL 60076-2910
Phone (945) 293-2513
Other practice location 1
3201 Cherry Ridge Dr Ste D402
San Antonio, TX 78230-4820
Phone (726) 239-2001
Other practice location 2
16420 Park Ten Pl Ste 150
Houston, TX 77084-5097
Phone (346) 560-4094
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1356250740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8235 CHRISTIANA AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762910",
"telephone_number": "945-293-2513",
"fax_number": "469-372-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12005 FORD RD STE 540",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752347269",
"telephone_number": "945-293-2513",
"fax_number": "469-372-0336"
}
],
"practiceLocations": [
{
"address_1": "3201 Cherry Ridge Dr Ste D402",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782304820",
"country_code": "US",
"telephone_number": "726-239-2001",
"fax_number": "210-463-9006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16420 Park Ten Pl Ste 150",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770845097",
"country_code": "US",
"telephone_number": "346-560-4094",
"fax_number": "281-676-4195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "P4 CLINICAL LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "SOOLIMAN",
"authorized_official_first_name": "ETAI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-322-6497"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.