Reliance Medlabs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2099319 Issued in TX

Legal business name

RELIANCE MEDLABS

Practice address

17774 Preston Road
Dallas, TX 75252

Phone

(972) 925-0723

Fax

(866) 230-5899

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Irfan Fazal

Title

Owner, President

Phone

(832) 367-8990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1629454053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17774 PRESTON ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75252",
            "telephone_number": "972-925-0723",
            "fax_number": "866-230-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17774 PRESTON ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75252",
            "telephone_number": "972-925-0723",
            "fax_number": "866-230-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MEDLABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "FAZAL",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "832-367-8990"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2099319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.