Active NPI
Arlene O'Neil
- Clinical Medical Laboratory
- Fort Worth, TX
National Provider Identifier
1679169965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 45D2206191
- Practice address
- 9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532 - Phone
- (817) 382-0832
- Fax
- (682) 593-1933
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 45D2206191 | TX | Primary |
Addresses
Primary practice location
9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532
Mailing address
1207 Butterfield St
Bridgeport, TX 76426-3323
Phone (940) 399-1986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45D2206191 | TX | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Diagnostics, LLC | Clinical Medical Laboratory | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Hollywood, FL
- NPI 1437819687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1679169965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 BUTTERFIELD ST",
"city": "BRIDGEPORT",
"state": "TX",
"postal_code": "764263323",
"telephone_number": "940-399-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 HILLWOOD PKWY STE 140",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761771532",
"telephone_number": "817-382-0832",
"fax_number": "682-593-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEIL",
"first_name": "ARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": "45D2206191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.