Ethos Clinical Solutions, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ETHOS CLINICAL SOLUTIONS, LLC

Practice address

8821 Davis Blvd Ste 100
Keller, TX 76248-0329

Phone

(214) 244-4279

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Weston Black

Title

Ceo

Phone

(214) 244-4279

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ethos Clinical Solutions, LLC Former legal business name

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1669930988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 DAVIS BLVD STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 DAVIS BLVD STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480329",
            "telephone_number": "214-244-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS CLINICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-244-4279",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2151056",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ethos Clinical Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Keller, TX
• Providers in Keller, 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 Mar 5, 2019; 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.