Organization Active NPI

Eregha Diagnostic Services LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1417793704
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EREGHA DIAGNOSTIC SERVICES LLC
Practice address
13140 Coit Rd Ste 307
Dallas, TX 75240-5759
Phone
(469) 949-4326
Fax
(469) 949-4573
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Abdul Al Haq
Title
Owner
Phone
(469) 949-4326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

13140 Coit Rd Ste 307
Dallas, TX 75240-5759

Mailing address

13140 Coit Rd Ste 307
Dallas, TX 75240-5759
Phone (469) 949-4326

National Provider Directory

National Provider Directory

Locations

13140 Coit Rd
Ste 307
Dallas, TX 75240
Phone (469) 949-4326

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1417793704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405759",
            "telephone_number": "469-949-4326",
            "fax_number": "469-949-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405759",
            "telephone_number": "469-949-4326",
            "fax_number": "469-949-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EREGHA DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "AL HAQ",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-949-4326"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 18, 2025; 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.