United Diagnostic Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNITED DIAGNOSTIC LABS

Practice address

3601 E 29TH St Ste 14
Bryan, TX 77802-3815

Phone

(855) 518-6583

Fax

(855) 518-6583

NPI assigned

Mar 18, 2022

Last updated

Apr 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Punit Patel

Title

Manager

Phone

(855) 518-6583

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1558010579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 E 29TH ST STE 14",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023815",
            "telephone_number": "855-518-6583",
            "fax_number": "855-518-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 E 29TH ST STE 14",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023815",
            "telephone_number": "855-518-6583",
            "fax_number": "855-518-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DIAGNOSTIC LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PUNIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "855-518-6583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Bryan, TX
• Providers in Bryan, 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 Apr 1, 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.