Mygenetx Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MYGENETX LABORATORY LLC

Doing business as

Lifetime Sciences

Practice address

9 Medical Pkwy Ste 108
Farmers Branch, TX 75234-7868

Phone

(615) 550-5880

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Kristen Dawn Copeland

Title

Coo

Phone

(615) 550-5880

Specialties & licenses 1

Addresses

Other names 1

• Lifetime Sciences Doing business as

Tax ID family

Lifetime Sciences2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mygenetx Laboratory LLC

  dba Lifetime Sciences

  • Clinical Medical Laboratory
  • Franklin, TN
  • NPI 1902171424
  NPD tax ID

Locations

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1568806032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY STE 108",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347868",
            "telephone_number": "615-550-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYGENETX LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-550-5880"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Sciences",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian S Morrow, NP
• Yaakov Meir Moyal, RBT
• Crystal Meisner Muegge, S.L.P.
• Anika Munshi
• Margaret E Myers, OTR
• Nader Nathan Nagavi, D.D.S, P.a. (advance dental)
• Jerome G Naifeh, M.D.
• Arti Nangrani
• Nilesh Nangrani, D.O.
• Sayury Natera

• Clinical Medical Laboratory in Farmers Branch, TX
• Providers in Farmers Branch, 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 Aug 3, 2023; 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.