Organization Active NPI

Star Diagnostics of Tarrant County

  • Physiological Laboratory
  • Fort Worth, TX
National Provider Identifier
1679525695
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
STAR DIAGNOSTICS OF TARRANT COUNTY
Practice address
2100 N Main St
LL20
Fort Worth, TX 76106-8570
Phone
(214) 943-9431
Fax
(214) 943-9407
NPI assigned
May 17, 2006
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Linda L Riley
Title
Adminstrator
Phone
(214) 943-9431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2100 N Main St
LL20
Fort Worth, TX 76106-8570

Mailing address

PO Box 226656
Dallas, TX 75222-6656
Phone (214) 943-9431

Other identifiers 1

IdentifierTypeStateIssuer
8V5961OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

2100 N Main St
Ste 20
Fort Worth, TX 76164

2100 N Main St
Ste LL20
Ft Worth, TX 76164

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1679525695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226656",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752226656",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST",
            "address_2": "LL20",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761068570",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DIAGNOSTICS OF TARRANT COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "214-943-9431"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V5961",
            "state": "TX"
        }
    ],
    "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 Jan 23, 2008; 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.