Convergent Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2113081 Issued in TX

Legal business name

CONVERGENT DIAGNOSTICS, LLC

Practice address

718 S Greenville Ave Ste 100
Allen, TX 75002-3319

Phone

(214) 501-5171

NPI assigned

Jan 19, 2017

Last updated

Apr 17, 2025By 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

Marc Ingram

Title

Ceo

Phone

(214) 501-5171

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy M McAuliff, M.D.

  • General Practice Physician
  • Richardson, TX
  • NPI 1821320177
  NPD
• James Robert Davie, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Plano, TX
  • NPI 1609863612
  NPD (past)
• Andrea L Volk, M.D.

  • Dermatopathology (Pathology) Physician
  • Atlanta, GA
  • NPI 1659306793
  NPD (past)

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1558808204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E STACY RD",
            "address_2": "STE 306-198",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S GREENVILLE AVE STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023319",
            "telephone_number": "214-501-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGENT DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-501-5171"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2113081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Conrad, RDH
• Daniel R Conran
• Kristen Conroy, CNM
• Maria Constantatos, PH.D.
• Anthony Conte
• Cook Childrens Home Health (Cook Children's Home Health - Allen)
• Yuri East Cook, M.D., FAAP
• Ashley Ryann Cooksey, CNP
• Jason William Cooper, PH.D.
• Xavier Cooper, DC

• Clinical Medical Laboratory in Allen, TX
• Providers in Allen, 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 17, 2025; 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.