Active NPI
Sierra Genomics Inc
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1619657392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SIERRA GENOMICS INC
- Practice address
- 6500 Greenville Ave Ste 640
Dallas, TX 75206-1014 - Phone
- (310) 497-1958
- Fax
- (310) 497-1958
- NPI assigned
- Jul 19, 2023
- 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
- Natalya Matthewna Stoyanov
- Title
- Owner
- Phone
- (310) 497-1958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6500 Greenville Ave Ste 640
Dallas, TX 75206-1014
Mailing address
6500 Greenville Ave Ste 640
Dallas, TX 75206-1014
Phone (310) 497-1958
National Provider Directory
National Provider DirectoryLocations
6500 Greenville Ave
Ste 640
Dallas, TX 75206
Phone (310) 497-1958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689724800000",
"number": "1619657392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 GREENVILLE AVE STE 640",
"city": "DALLAS",
"state": "TX",
"postal_code": "752061014",
"telephone_number": "310-497-1958",
"fax_number": "310-497-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 GREENVILLE AVE STE 640",
"city": "DALLAS",
"state": "TX",
"postal_code": "752061014",
"telephone_number": "310-497-1958",
"fax_number": "310-497-1958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA GENOMICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A",
"authorized_official_last_name": "STOYANOV",
"authorized_official_first_name": "NATALYA",
"authorized_official_middle_name": "MATTHEWNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-497-1958"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 19, 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.