Organization Active NPI

Facilitated, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1720431125
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D2110102 Issued in TX
Legal business name
FACILITATED, LLC
Practice address
5710 LBJ Freeway
Suite 210
Dallas, TX 75240
Phone
(214) 888-8099
Fax
(214) 261-2217
NPI assigned
Jul 20, 2016
Last updated
Jul 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Nizar A Alikhan
Title
Credentialing Contact
Phone
(214) 888-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D2110102 TX Primary

Addresses

Primary practice location

5710 LBJ Freeway
Suite 210
Dallas, TX 75240

Mailing address

5710 LBJ Freeway
Suite 210
Dallas, TX 75240
Phone (214) 888-8099

Other identifiers 1

IdentifierTypeStateIssuer
45D2110102OtherTXCLIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1720431125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 LBJ FREEWAY",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "214-888-8099",
            "fax_number": "214-261-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 LBJ FREEWAY",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "214-888-8099",
            "fax_number": "214-261-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACILITATED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ALIKHAN",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING CONTACT",
        "authorized_official_telephone_number": "214-888-8099"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2110102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2110102",
            "state": "TX"
        }
    ],
    "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 Jul 20, 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.