Organization Active NPI

Laser Bar, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1437803780
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LASER BAR, LLC
Practice address
736 W Davis St
Dallas, TX 75208-4951
Phone
(214) 215-3512
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Torri Roland
Title
Owner
Phone
(214) 215-3512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

736 W Davis St
Dallas, TX 75208-4951

Mailing address

736 W Davis St
Dallas, TX 75208-4951
Phone (214) 215-3512

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
45D2250783Laser Bar736 West Davis, Dallas, TX 75208Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

736 W Davis St
Dallas, TX 75208
Phone (214) 215-3512

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1437803780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084951",
            "telephone_number": "214-215-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084951",
            "telephone_number": "214-215-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER BAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "TORRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-215-3512"
    },
    "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 Feb 7, 2022; 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.