Organization Active NPI

Cornerstone Addison LLC

  • Clinical Medical Laboratory
  • Addison, TX
National Provider Identifier
1417831934
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CORNERSTONE ADDISON LLC
Practice address
4007 Lindbergh Dr
Addison, TX 75001-4343
Phone
(972) 755-1034
NPI assigned
Aug 5, 2025
Last updated
Jan 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Authorized official

Name
Amy Gruszecki, MD
Title
Laboratory Director
Phone
(972) 755-1034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4007 Lindbergh Dr
Addison, TX 75001-4343

Mailing address

4007 Lindbergh Dr
Addison, TX 75001-4343
Phone (972) 755-1034

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2328026Cornerstone Addison4007 Lindbergh Dr, Addison, TX 75001Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1417831934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 LINDBERGH DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014343",
            "telephone_number": "972-755-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 LINDBERGH DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014343",
            "telephone_number": "972-755-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE ADDISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "GRUSZECKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "972-755-1034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.