Organization Active NPI

Supreme Medical Laboratories LLC

Doing business as Biomedix

  • Clinical Medical Laboratory
  • Frisco, TX
National Provider Identifier
1619488418
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUPREME MEDICAL LABORATORIES LLC
Doing business as
Biomedix
Practice address
3803 Parkwood Blvd Ste 400
Frisco, TX 75034-8643
Phone
(469) 850-0548
Fax
(469) 850-0547
NPI assigned
Oct 19, 2017
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Ross L. Harris
Title
Ceo
Phone
(214) 207-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3803 Parkwood Blvd Ste 400
Frisco, TX 75034-8643

Mailing address

3803 Parkwood Blvd Ste 400
Frisco, TX 75034-8643
Phone (469) 850-0548

Other practice location 1

12410 Cantrell Rd Ste 101
Little Rock, AR 72223-1703
Phone (469) 782-8928

Other names 1

  • Biomedix Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190122002034 TX Part B Supplier - Independent Clinical Laboratory 4486991973 Practice locations: Frisco, TX
O20250304000084 AR Part B Supplier - Independent Clinical Laboratory 4486991973 Practice locations: Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2138633Biomedix, LLC3803 Parkwood Blvd Suite 400, Frisco, TX 75034AccreditationJul 11, 2026

National Provider Directory

National Provider Directory

Locations

12410 Cantrell Rd
Ste 101
Little Rock, AR 72223
Phone (469) 782-8928

2 Innwood Cir
Ste C
Little Rock, AR 72211
Phone (469) 782-8928

3803 Parkwood Blvd
Ste 400
Frisco, TX 75034
Phone (469) 850-0548

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1619488418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 PARKWOOD BLVD STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348643",
            "telephone_number": "469-850-0548",
            "fax_number": "469-995-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 PARKWOOD BLVD STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348643",
            "telephone_number": "469-850-0548",
            "fax_number": "469-850-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12410 Cantrell Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722231703",
            "country_code": "US",
            "telephone_number": "469-782-8928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPREME MEDICAL LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-207-1696"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biomedix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.