Organization Active NPI

Forensic 360 Laboratory Diagnostic

  • Clinical Medical Laboratory
  • Desoto, TX
National Provider Identifier
1639964026
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FORENSIC 360 LABORATORY DIAGNOSTIC
Practice address
1801 N Hampton Rd Ste 300
Desoto, TX 75115-2399
Phone
(469) 222-1200
Fax
(214) 432-1700
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Ms. Cindy Johnson
Title
Lab Manager
Phone
(469) 222-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1801 N Hampton Rd Ste 300
Desoto, TX 75115-2399

Mailing address

1801 N Hampton Rd Ste 300
Desoto, TX 75115-2399
Phone (469) 222-1200

Other names 1

  • Forensic 360 Lab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1639964026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 300",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152399",
            "telephone_number": "469-222-1200",
            "fax_number": "214-432-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 300",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152399",
            "telephone_number": "469-222-1200",
            "fax_number": "214-432-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC 360 LABORATORY DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "LAB MANAGER",
        "authorized_official_telephone_number": "469-222-1200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forensic 360 Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.