Devlab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DEVLAB

Practice address

783 N. Denton Tap Rd
Ste 110
Coppell, TX 75019-2170

Phone

(866) 983-0667

Fax

(214) 722-2318

NPI assigned

Jul 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. John Samuel Sutton Jr.

Title

Ceo

Phone

(866) 983-0667

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DevLab Bio Doing business as

Locations

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1417574666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 N. DENTON TAP RD",
            "address_2": "STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192170",
            "telephone_number": "866-983-0667",
            "fax_number": "214-722-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 N. DENTON TAP RD",
            "address_2": "STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192170",
            "telephone_number": "866-983-0667",
            "fax_number": "214-722-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVLAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-983-0667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417841001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DevLab Bio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Coppell, TX
• Providers in Coppell, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.