Organization Active NPI

Best Lab Service Plus Inc

  • Clinical Medical Laboratory
  • Irving, TX
National Provider Identifier
1568877124
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D2076856 Issued in TX
Legal business name
BEST LAB SERVICE PLUS INC
Practice address
1300 W Walnut Hill LN
#158
Irving, TX 75038-3000
Phone
(469) 777-4669
Fax
(467) 777-4529
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. Ravi Morisetty
Title
Owner
Phone
(469) 777-4669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D2076856 TX Primary

Addresses

Primary practice location

1300 W Walnut Hill LN
#158
Irving, TX 75038-3000

Mailing address

1300 W Walnut Hill LN
#158
Irving, TX 75038-3000
Phone (469) 777-4669

Other identifiers 1

IdentifierTypeStateIssuer
45D2076856OtherTXCLIA

National Provider Directory

National Provider Directory

Locations

1300 W Walnut Hill Ln
Ste 158
Irving, TX 75038
Phone (469) 777-4669

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1568877124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W WALNUT HILL LN",
            "address_2": "#158",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383000",
            "telephone_number": "469-777-4669",
            "fax_number": "467-777-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W WALNUT HILL LN",
            "address_2": "#158",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383000",
            "telephone_number": "469-777-4669",
            "fax_number": "467-777-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LAB SERVICE PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "MORISETTY",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-777-4669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2076856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2076856",
            "state": "TX"
        }
    ],
    "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 Feb 17, 2016; 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.