Polymerase Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

POLYMERASE LABS LLC

Practice address

405 N Ridgeway Dr Ste H
Cleburne, TX 76033-5130

Phone

(817) 793-2150

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Peter John Malouf, DONPI 1225047012

Title

Lab Director

Phone

(817) 793-2150

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Peter J Malouf, D.O.

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1225047012
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1487324398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 FAIRWAY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191606",
            "telephone_number": "817-793-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N RIDGEWAY DR STE H",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335130",
            "telephone_number": "817-793-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYMERASE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "MALOUF",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "817-793-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Petrie, FNP-C
• Michael Scott Phillips, M.D.
• Lindsey Elizabeth Pinkerton, LCSW
• Pinnacle Health Facilities of Texas Xiv LP
• Brian Pogue
• Roger Lane Poole, M.A., M.ED., LPC
• Samantha Powers, AUD
• Zoey Grace Prater
• Procare Home Care Services Unlimited, Corp
• Pruitt Chiropractic PLLC

• Clinical Medical Laboratory in Cleburne, TX
• Providers in Cleburne, 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 Sep 14, 2021; 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.