Intuit Diagnostic Laboratory Management LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2086654 Issued in TX

Legal business name

INTUIT DIAGNOSTIC LABORATORY MANAGEMENT LLC

Practice address

4225 Office Pkwy
Dallas, TX 75204-3628

Phone

(817) 454-3043

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Ryan King

Title

Vice President, Finance

Phone

(817) 454-3043

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1477910404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 OFFICE PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 OFFICE PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043628",
            "telephone_number": "817-454-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTUIT DIAGNOSTIC LABORATORY MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "817-454-3043"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2086654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interventional Spine and Pain, LLP
• Interventional Spine Associates, PA
• Into the Looking Glass Counseling, PLLC
• Intouch Behavioral Health
• Intraoperative Neuro Professionals
• Involved for Life, Inc.
• Involved for Life, Inc.
• Inwood Dental, P.C.
• Inwood Family Dentistry PLLC
• Inwood Medical Clinic Inc.

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, 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 Jan 21, 2016; 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.