NPIMap

Organization Active NPI

Goto Lab Express Texas LLC

  • Clinical Medical Laboratory
  • Irving, TX
National Provider Identifier
1558869438
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GOTO LAB EXPRESS TEXAS LLC
Practice address
1300 W Walnut Hill LN Ste 256
Irving, TX 75038-2914
Phone
(972) 552-0794
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Benjamin Villafane Jr.
Title
Director
Phone
(972) 552-0794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1300 W Walnut Hill LN Ste 256
Irving, TX 75038-2914

Mailing address

10522 S Cicero Ave Ste 407
Oak Lawn, IL 60453-5295
Phone (972) 552-0794

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1558869438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE STE 407",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535295",
            "telephone_number": "972-552-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W WALNUT HILL LN STE 256",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382914",
            "telephone_number": "972-552-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTO LAB EXPRESS TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-552-0794",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.