Koar Medical Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KOAR MEDICAL SERVICES

Practice address

508 Lilac LN
Desoto, TX 75115-1465

Phone

(972) 921-9481

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Ashley McDanielsNPI 1366112195

Title

Owner

Phone

(972) 921-9481

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Ashley McDaniels I

  • Clinical Medical Laboratory
  • Desoto, TX
  • NPI 1366112195
  NPD Authorized official

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1427718105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 LILAC LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151465",
            "telephone_number": "972-921-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 LILAC LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151465",
            "telephone_number": "972-921-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOAR MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "MCDANIELS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-921-9481"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Documents",
            "affiliation": "N",
            "address_1": "508 Lilac Ln",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751151465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hortense Denise Kirby
• David R Knight, MD
• Mary Knight, LCSW
• Know You'Re Covered
• John Hendrix Knowles, DDS
• Jyothsna Kodali, M.D.
• Janardhan Konda, M.D.
• Dunia Korous, DDS
• Srinath Kotamarti
• Praveen G Kottackal- Varkey, DDS

• Clinical Medical Laboratory in Desoto, TX
• Providers in Desoto, 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 Dec 22, 2021; 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.