Organization Active NPI

Lodestar Services LLC

  • Clinical Medical Laboratory
  • Lubbock, TX
National Provider Identifier
1396566410
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LODESTAR SERVICES LLC
Practice address
2002 W Loop 289 Ste 100
Lubbock, TX 79407-1715
Phone
(925) 212-1207
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Dr. Owatha TatumNPI 1639517386
Title
Ceo
Phone
(925) 212-1207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2002 W Loop 289 Ste 100
Lubbock, TX 79407-1715

Mailing address

3415 56TH St
Lubbock, TX 79413-4745

Other names 1

  • Fabric Clinical Doing business as

National Provider Directory

National Provider Directory

Locations

2002 W Loop 289
Ste 100
Lubbock, TX 79407
Phone (925) 212-1207

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1396566410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 56TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 W LOOP 289 STE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794071715",
            "telephone_number": "925-212-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODESTAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "OWATHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-212-1207",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fabric Clinical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.