Active NPI
DTR Labs LLC
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1568868446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- DTR LABS LLC
- Practice address
- 16200 Dallas Pkwy Ste 170
Dallas, TX 75248-2616 - Phone
- (817) 690-4366
- NPI assigned
- Nov 5, 2014
- Last updated
- Jun 25, 2026
- 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
- Cesar Navarrete
- Title
- Manager
- Phone
- (800) 976-1495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
16200 Dallas Pkwy Ste 170
Dallas, TX 75248-2616
Mailing address
16200 Dallas Pkwy Ste 170
Dallas, TX 75248-2616
Phone (817) 690-4366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366760201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170208002825 | TX | Part B Supplier - Independent Clinical Laboratory | 2567745938 | Practice locations: Highland Village, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2311876 | DTR Labs | Registration | Sep 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
3340 Sunrise Ave
Las Vegas, NV 89101
16200 Dallas Pkwy
Ste 170
Dallas, TX 75248
2150 Justin Rd
Ste 300
Lewisville, TX 75077
Phone (469) 702-6015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1568868446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16200 DALLAS PKWY STE 170",
"city": "DALLAS",
"state": "TX",
"postal_code": "752482616",
"telephone_number": "817-690-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16200 DALLAS PKWY STE 170",
"city": "DALLAS",
"state": "TX",
"postal_code": "752482616",
"telephone_number": "817-690-4366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DTR LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-05",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "NAVARRETE",
"authorized_official_first_name": "CESAR",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "800-976-1495"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366760201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.