Premier Histology of Texas LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREMIER HISTOLOGY OF TEXAS LLC

Practice address

4560 Belt Line Rd
Suite 405
Addison, TX 75001-4505

Phone

(214) 377-7210

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Peter Kvapil, MD

Title

Member

Phone

(214) 377-7210

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1629486659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540088",
            "telephone_number": "713-850-1190",
            "fax_number": "713-850-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 BELT LINE RD",
            "address_2": "SUITE 405",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014505",
            "telephone_number": "214-377-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HISTOLOGY OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "KVAPIL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-377-7210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Addison, TX
• Providers in Addison, 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 Nov 9, 2015; 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.