Trufide Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2108334 Issued in TX

Legal business name

TRUFIDE DIAGNOSTICS, LLC

Doing business as

TruFide Labs

Practice address

580 Commerce St
Suite 180
Southlake, TX 76092-9155

Phone

(972) 823-9350

Fax

(972) 812-0802

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Kuykendall

Title

Ceo

Phone

(972) 823-9350

Specialties & licenses 1

Addresses

Other names 1

• TruFide Labs Doing business as

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1700234267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COMMERCE ST",
            "address_2": "SUITE 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929155",
            "telephone_number": "972-823-9350",
            "fax_number": "972-812-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COMMERCE ST",
            "address_2": "SUITE 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929155",
            "telephone_number": "972-823-9350",
            "fax_number": "972-812-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUFIDE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "KUYKENDALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-823-9350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2108334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruFide Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilian Trifena, NP, PMHNP-BC
• Triumphant Healthcare Solutions LLC
• Katie Troseth, PT
• Stephen J Troum, MD
• Dolori J Troutt, MA, LPC
• Tsa Medservices, PLLC
• Lisa Tshuma, PA
• Emily Tucker, RBT
• Stephanie Kristen Tucker, PT, ATC, LAT
• Abigail Turley

• Clinical Medical Laboratory in Southlake, TX
• Providers in Southlake, 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 May 25, 2016; 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.