Active NPI
Sunridge Diagnostics LLC
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1689494387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SUNRIDGE DIAGNOSTICS LLC
- Practice address
- 11056 Shady TRL Ste 109
Dallas, TX 75229-5624 - Phone
- (682) 203-8832
- NPI assigned
- Oct 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damon Sacks
- Title
- President
- Phone
- (682) 203-8832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
11056 Shady TRL Ste 109
Dallas, TX 75229-5624
Mailing address
6814 Prosper St
Dallas, TX 75209-4610
Phone (682) 203-8832
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2307469 | Sunridge Diagnostics, LLC | Registration | Jul 8, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1689494387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6814 PROSPER ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752094610",
"telephone_number": "682-203-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11056 SHADY TRL STE 109",
"city": "DALLAS",
"state": "TX",
"postal_code": "752295624",
"telephone_number": "682-203-8832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRIDGE DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "SACKS",
"authorized_official_first_name": "DAMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "682-203-8832"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.