Organization Active NPI

David'S Stone Contracting and Consultation LLC

  • Clinical Medical Laboratory
  • Killeen, TX
National Provider Identifier
1548910425
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DAVID'S STONE CONTRACTING AND CONSULTATION LLC
Practice address
3504 Sands LN
Killeen, TX 76549-6036
Phone
(254) 419-0462
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Amanda Willis, MHA
Title
Laboratory Director
Phone
(254) 419-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3504 Sands LN
Killeen, TX 76549-6036

Mailing address

3504 Sands LN
Killeen, TX 76549-6036

Other identifiers 1

IdentifierTypeStateIssuer
45D2247678OtherTXCLIA NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1548910425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 SANDS LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 SANDS LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496036",
            "telephone_number": "254-419-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID'S STONE CONTRACTING AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "254-419-0462",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "45D2247678",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.