Active NPI
Zenith Laboratory Services LLC
- Clinical Medical Laboratory
- Longview, TX
National Provider Identifier
1568840593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ZENITH LABORATORY SERVICES LLC
- Practice address
- 1212 Alpine Rd
Longview, TX 75601-5701 - Phone
- (903) 212-4302
- Fax
- (903) 212-4304
- NPI assigned
- May 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cyrus Kashef
- Title
- Cfo
- Phone
- (210) 301-1180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1212 Alpine Rd
Longview, TX 75601-5701
Mailing address
PO Box 732975
Dallas, TX 75373-2975
Phone (210) 301-1180
Other identifiers 28
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568840593 | Medicaid | WI | |
| 0532410 | Medicaid | NJ | |
| 1568840593 | Medicaid | ID | |
| 1568840593 | Medicaid | IA | |
| 2048327 | Medicaid | WA | |
| 099517 | Medicaid | AZ | |
| 1568840593 | Medicaid | VA | |
| 00316754 | Medicaid | GA | |
| 1568840593 | Medicaid | ME | |
| 2405934 | Medicaid | LA | |
| 51981386 | Medicaid | NM | |
| 06123263 | Medicaid | MS | |
| 177904 | Medicaid | AL | |
| 201124480A | Medicaid | KS | |
| 210177709 | Medicaid | AR | |
| 201330240A | Medicaid | IN | |
| 3504649 | Medicaid | TX | |
| 7100394590 | Medicaid | KY | |
| 89027 | Medicaid | IL | |
| 1568840593 | Medicaid | MO | |
| 1568840593 | Medicaid | MT | |
| 3105679 | Medicaid | NH | |
| 94780064 | Medicaid | CO | |
| 10026564300 | Medicaid | NE | |
| 143289 | Medicaid | OH | |
| 1568840593 | Medicaid | UT | |
| 1635133 | Medicaid | AK | |
| 20061732 | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541462400000",
"number": "1568840593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732975",
"city": "DALLAS",
"state": "TX",
"postal_code": "753732975",
"telephone_number": "210-301-1180",
"fax_number": "210-877-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 ALPINE RD",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015701",
"telephone_number": "903-212-4302",
"fax_number": "903-212-4304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZENITH LABORATORY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-11",
"last_updated": "2018-11-06",
"status": "A",
"authorized_official_last_name": "KASHEF",
"authorized_official_first_name": "CYRUS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "210-301-1180"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
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},
{
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},
{
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"state": "ID"
},
{
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},
{
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},
{
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"identifier": "099517",
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},
{
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{
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"issuer": null,
"identifier": "00316754",
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},
{
"code": "05",
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"issuer": null,
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"state": "ME"
},
{
"code": "05",
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"issuer": null,
"identifier": "2405934",
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},
{
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{
"code": "05",
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"issuer": null,
"identifier": "177904",
"state": "AL"
},
{
"code": "05",
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"issuer": null,
"identifier": "201124480A",
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{
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"issuer": null,
"identifier": "210177709",
"state": "AR"
},
{
"code": "05",
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"issuer": null,
"identifier": "201330240A",
"state": "IN"
},
{
"code": "05",
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"issuer": null,
"identifier": "3504649",
"state": "TX"
},
{
"code": "05",
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"issuer": null,
"identifier": "7100394590",
"state": "KY"
},
{
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"issuer": null,
"identifier": "89027",
"state": "IL"
},
{
"code": "05",
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"issuer": null,
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"state": "MO"
},
{
"code": "05",
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"issuer": null,
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"state": "MT"
},
{
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"identifier": "3105679",
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},
{
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"issuer": null,
"identifier": "94780064",
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},
{
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"issuer": null,
"identifier": "10026564300",
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},
{
"code": "05",
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"issuer": null,
"identifier": "143289",
"state": "OH"
},
{
"code": "05",
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"issuer": null,
"identifier": "1568840593",
"state": "UT"
},
{
"code": "05",
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"issuer": null,
"identifier": "1635133",
"state": "AK"
},
{
"code": "05",
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"issuer": null,
"identifier": "20061732",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.