Organization Active NPI

Care Diagnostics LLC

  • Clinical Medical Laboratory
  • Plano, TX
National Provider Identifier
1467106336
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CARE DIAGNOSTICS LLC
Practice address
555 Republic Dr Ste 315
Plano, TX 75074-5470
Phone
(469) 991-9949
Fax
(469) 991-9949
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Wasif Karim
Title
Operations Manager
Phone
(469) 991-9949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

555 Republic Dr Ste 315
Plano, TX 75074-5470

Mailing address

555 Republic Dr Ste 315
Plano, TX 75074-5470
Phone (469) 991-9949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914001340 TX Part B Supplier - Independent Clinical Laboratory 9537544499 Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

555 Republic Dr
Ste 350
Plano, TX 75074

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1467106336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR STE 315",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745470",
            "telephone_number": "469-991-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR STE 315",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745470",
            "telephone_number": "469-991-9949",
            "fax_number": "469-991-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "WASIF",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "469-991-9949"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.