Lucenta Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2081612 Issued in TX

Legal business name

LUCENTA LABORATORY LLC

Practice address

7589 Preston Rd
Suite 900
Frisco, TX 75034-5667

Phone

(972) 294-5076

Fax

(972) 294-5235

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Satish Chundru, D.O.

Title

Director

Phone

(972) 294-5076

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Mohammad Javed Tariq, MD

  • Interventional Pain Medicine Physician
  • Lewisville, TX
  • NPI 1639171887

  Clinical Medical Laboratory

  NPD

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1497145502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7589 PRESTON RD",
            "address_2": "SUITE 900",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345667",
            "telephone_number": "972-294-5076",
            "fax_number": "972-294-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7589 PRESTON RD",
            "address_2": "SUITE 900",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345667",
            "telephone_number": "972-294-5076",
            "fax_number": "972-294-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENTA LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "CHUNDRU",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-294-5076",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2081612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD LICENSE",
            "identifier": "M9927",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Lu Takeshita, PT
• Stephen Lu, DMD
• Xiaohui Lu, M.D.
• Jennifer Laurie Lucas, RN
• Lucenta Laboratory Corp
• Denise Lucero-Miller
• Lucy Li Mdpa
• Ana Lugo, APRN
• Albert Lum, MD
• Luminous Dental Associates PLLC

• Clinical Medical Laboratory in Frisco, TX
• Providers in Frisco, 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 27, 2015; 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.