Active NPI
BL Diagnostics LLC
- Clinical Medical Laboratory
- Arlington, TX
National Provider Identifier
1366831109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2015
- 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
- Loi Phan
- Title
- Managing Member
- Phone
- (817) 422-9408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 45D2103269 | BL Diagnostics LLC | Accreditation | Dec 20, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Medical Laboratory Technician
- Arlington, TX
- NPI 1669894341
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.