Organization Active NPI

BL Diagnostics LLC

  • Clinical Medical Laboratory
  • Arlington, TX
National Provider Identifier
1366831109
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BL DIAGNOSTICS LLC
Practice address
1119 W Randol Mill Rd
Suite #106
Arlington, TX 76012-6509
Phone
(817) 422-9408
Fax
(817) 422-9393
NPI assigned
Jan 16, 2015
Last updated
Jan 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Loi Phan
Title
Managing Member
Phone
(817) 422-9408

Specialties & licenses 1

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

Addresses

Primary practice location

1119 W Randol Mill Rd
Suite #106
Arlington, TX 76012-6509

Mailing address

1119 W Randol Mill Rd
Suite #106
Arlington, TX 76012-6509
Phone (817) 422-9408

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2103269BL Diagnostics LLC1119 W Randol Mill Road Suite 106, Arlington, TX 76012AccreditationDec 20, 2026

National Provider Directory

National Provider Directory

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": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1366831109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 W RANDOL MILL RD",
            "address_2": "SUITE #106",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760126509",
            "telephone_number": "817-422-9408",
            "fax_number": "817-422-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 W RANDOL MILL RD",
            "address_2": "SUITE #106",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760126509",
            "telephone_number": "817-422-9408",
            "fax_number": "817-422-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LOI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-422-9408"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.