Organization Active NPI

Nanoscope Diagnostics LLC

  • Clinical Medical Laboratory
  • Arlington, TX
National Provider Identifier
1467048181
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NANOSCOPE DIAGNOSTICS LLC
Practice address
1624 New York Ave
Arlington, TX 76010-4724
Phone
(682) 252-4425
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Michael David Carlson, BS
Title
Lab Manager
Phone
(214) 475-3540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Molecular Genetics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207SG0203X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1624 New York Ave
Arlington, TX 76010-4724

Mailing address

1624 New York Ave
Arlington, TX 76010-4724
Phone (682) 252-4425

National Provider Directory

National Provider Directory

Locations

1624 New York Ave
Arlington, TX 76010
Phone (682) 252-4425

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1467048181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 NEW YORK AVE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104724",
            "telephone_number": "682-252-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 NEW YORK AVE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104724",
            "telephone_number": "682-252-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANOSCOPE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "LAB MANAGER",
        "authorized_official_telephone_number": "214-475-3540",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.