Organization Active NPI

Pulmonary Laboratory Services

  • Specialist
  • Dallas, TX
National Provider Identifier
1629086772
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PULMONARY LABORATORY SERVICES
Practice address
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone
(214) 941-1366
Fax
(214) 942-5983
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Deborah Nixon
Title
Billing Manager
Phone
(214) 520-5743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1441 N Beckley Ave
Dallas, TX 75203-1201

Mailing address

4040 N Central Expy Ste 600
Dallas, TX 75204-3147
Phone (214) 520-5743

Other identifiers 2

IdentifierTypeStateIssuer
895586OtherTXBLUE CROSS/BLUE SHIELD
081936901MedicaidTX

National Provider Directory

National Provider Directory

Locations

221 W Colorado Blvd
#424
Dallas, TX 75208
Phone (214) 941-1366

1701 River Run
#2000
Fort Worth, TX 76107
Phone (817) 640-0572

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1629086772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 N CENTRAL EXPY STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043147",
            "telephone_number": "214-520-5743",
            "fax_number": "214-520-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-941-1366",
            "fax_number": "214-942-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-520-5743"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "895586",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081936901",
            "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 24, 2010; 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.