St Michaels Labs DFW Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

801158698 Issued in TX

Legal business name

ST MICHAELS LABS DFW INC

Practice address

1605 Airport Freeway
Bedford, TX 76021

Phone

(713) 586-6705

Fax

(713) 586-6752

NPI assigned

Sep 9, 2009

Last updated

Sep 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Kellner

Title

Director of Credentialing

Phone

(713) 586-6705

Specialties & licenses 1

Addresses

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.

• Pedro Juan Loredo III, MD

  • Surgery of the Hand (Surgery) Physician
  • Southlake, TX
  • NPI 1417175209
  NPD (past)

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1710210828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924587",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772924587",
            "telephone_number": "713-586-6705",
            "fax_number": "713-586-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 AIRPORT FREEWAY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "713-586-6705",
            "fax_number": "713-586-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAELS LABS DFW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "713-586-6705"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "801158698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Associates LLC (A Sensitive Touch Home Healthcare LLC)
• Southlake Interventional Pain Center, LLC
• Sarah Dominique Meek Springer
• Chantal H.J. Spurdon, M.D.
• Stephanie Spurgers, PHARMD
• Scott M. Staffel, DDS
• Brandon Lee Stafford, ATC, LAT
• Maury Edward Staggs, RPH
• Lisa Stajduhar
• Marty Stajduhar, PHYSICAL THERAPY

• Clinical Medical Laboratory in Bedford, TX
• Providers in Bedford, 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 Sep 9, 2009; 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.