Organization Active NPI

Preston Diagnostics LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1689537532
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRESTON DIAGNOSTICS LLC
Practice address
17290 Preston Rd Ste 300-B
Dallas, TX 75252-4026
Phone
(281) 790-0044
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Bhupendra Singh Rawat
Title
Owner
Phone
(281) 790-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17290 Preston Rd Ste 300-B
Dallas, TX 75252-4026

Mailing address

17290 Preston Rd Ste 300-B
Dallas, TX 75252-4026
Phone (281) 790-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260221000628 TX Part B Supplier - Independent Clinical Laboratory 4880175462 Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2335736Preston Diagnostics LLC17290 Preston Rd Suite 300-B, Dallas, TX 75252RegistrationDec 15, 2027

National Provider Directory

National Provider Directory

Locations

17290 Preston Rd
Ste 300B
Dallas, TX 75252
Phone (281) 790-0044

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1689537532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17290 PRESTON RD STE 300-B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524026",
            "telephone_number": "281-790-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17290 PRESTON RD STE 300-B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524026",
            "telephone_number": "281-790-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "RAWAT",
        "authorized_official_first_name": "BHUPENDRA",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-790-0044"
    },
    "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 Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.