Organization Active NPI

County of Tarrant

Doing business as Tarrant County Public Health

  • Clinical Medical Laboratory
  • Arlington, TX
National Provider Identifier
1477832483
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D0659873 Issued in TX
Legal business name
COUNTY OF TARRANT
Doing business as
Tarrant County Public Health
Practice address
2596 E Arkansas LN Ste 190
Arlington, TX 76014-1752
Phone
(817) 321-4792
Fax
(817) 321-4790
NPI assigned
Aug 8, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Catherine A Colquitt, M.D.NPI 1275533846
Title
Medical Director
Phone
(817) 321-5344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D0659873 TX Primary

Addresses

Primary practice location

2596 E Arkansas LN Ste 190
Arlington, TX 76014-1752

Mailing address

1101 S Main St
Suite 2106
Fort Worth, TX 76104-4802
Phone (817) 321-4700

Other practice location 1

1101 S Main St
Suite 2106
Fort Worth, TX 76104-4802
Phone (817) 321-4700

Other identifiers 1

IdentifierTypeStateIssuer
3669343-01MedicaidTX

Other names 1

  • Tarrant County Public Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161202000377 TX Part B Supplier - Independent Clinical Laboratory 1456315571 1 other NPI on this enrollment
Practice locations: Fort Worth, TX; Arlington, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477832483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "address_2": "SUITE 2106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4700",
            "fax_number": "817-850-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 E ARKANSAS LN STE 190",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760141752",
            "telephone_number": "817-321-4792",
            "fax_number": "817-321-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 S Main St",
            "address_2": "Suite 2106",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044802",
            "country_code": "US",
            "telephone_number": "817-321-4700",
            "fax_number": "817-850-5845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF TARRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COLQUITT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-321-5344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0659873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3669343-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarrant County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 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.