Blackshield Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BLACKSHIELD LABS LLC

Practice address

2901 W Parker Rd Unit 866763
Plano, TX 75086-0679

Phone

(469) 336-4089

Fax

(844) 693-0422

NPI assigned

May 29, 2026

Organization subpart

No

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

Authorized official

Name

Carol M Tucker

Title

Ceo

Phone

(469) 336-4089

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1649102286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W PARKER RD UNIT 866763",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750860679",
            "telephone_number": "469-336-4089",
            "fax_number": "844-693-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W PARKER RD UNIT 866763",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750860679",
            "telephone_number": "469-336-4089",
            "fax_number": "844-693-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSHIELD LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-336-4089"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Willow Operations, LLC
• Sean Blackburn, LPC
• Helen Louise Blacklock, OTR
• Brittany Blackman, FNP-BC
• Michael Bendele Blackmon, M.D.
• Jaslyn Blackwell, RN
• Mariah Blackwell
• Alexandra Danielle Blaeser, P.A-C
• Alahna Blair
• Deshanda Blair

• Clinical Medical Laboratory in Plano, TX
• Providers in Plano, 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 May 29, 2026; 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.