Organization Active NPI

Choice Laboratory Services, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1407167364
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CHOICE LABORATORY SERVICES, LLC
Practice address
7920 Belt Line Rd
Suite 200
Dallas, TX 75254-8145
Phone
(972) 386-6653
Fax
(972) 386-6244
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Grady Hobbs
Title
Manager
Phone
(469) 362-6909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7920 Belt Line Rd
Suite 200
Dallas, TX 75254-8145

Mailing address

PO Box 674131
Dallas, TX 75267-4131
Phone (972) 386-6653

Other identifiers 1

IdentifierTypeStateIssuer
45D2009407OtherCLIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1407167364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674131",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674131",
            "telephone_number": "972-386-6653",
            "fax_number": "972-386-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548145",
            "telephone_number": "972-386-6653",
            "fax_number": "972-386-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-362-6909"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2009407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.