NPIMap

Organization Active NPI

Haztech Mso, LLC

Doing business as Haztech Testing Center-Dallas

  • Clinical Medical Laboratory
  • Coppell, TX
National Provider Identifier
1386305068
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HAZTECH MSO, LLC
Doing business as
Haztech Testing Center-Dallas
Practice address
580 S Denton Tap Rd Ste 280
Coppell, TX 75019-4073
Phone
(713) 737-5912
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Paul Tate
Title
Manager
Phone
(713) 737-5912

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

580 S Denton Tap Rd Ste 280
Coppell, TX 75019-4073

Mailing address

18648 McKay Dr Ste 120
Humble, TX 77338-5724

Other names 1

  • Haztech Testing Center-Dallas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haztech Mso LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1386305068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR STE 120",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S DENTON TAP RD STE 280",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194073",
            "telephone_number": "713-737-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZTECH MSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-737-5912"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haztech Testing Center-Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.