Active NPI
Choice Diagnostic Lab
- Clinical Medical Laboratory
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CHOICE DIAGNOSTIC LAB
- Practice address
- 731 E Southlake Blvd Ste 180
Southlake, TX 76092-6382 - Phone
- (817) 601-8591
- NPI assigned
- Apr 14, 2022
- 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
- Preetpal Singh Sidhu
- Title
- Owner
- Phone
- (844) 550-0308
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
731 E Southlake Blvd Ste 180
Southlake, TX 76092-6382
Mailing address
731 E Southlake Blvd Ste 180
Southlake, TX 76092-6382
Phone (817) 601-8591
Other names 1
- Solaris Diagnostics
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 |
|---|---|---|---|
| 45D2257706 | Choice Diagnostic Lab LLC | Certificate of waiver | Sep 9, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
8202 Clearvista Pkwy
Ste 5A
Indianapolis, IN 46256
Phone (844) 550-0308
12445 East Fwy
Ste 100A
Houston, TX 77015
Phone (281) 949-8582
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Laboratory Management Specialist/Technologist
- Nicholasville, KY
- NPI 1093217309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1730822248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E SOUTHLAKE BLVD STE 180",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926382",
"telephone_number": "817-601-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E SOUTHLAKE BLVD STE 180",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926382",
"telephone_number": "817-601-8591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE DIAGNOSTIC LAB",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "SIDHU",
"authorized_official_first_name": "PREETPAL",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "844-550-0308"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Solaris Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southlake, TX
- Theresa Chibuoke, NURSE PRACTITIONER
- Chiro One Wellness Center of South Lake PLLC
- Chiropractic Care Center of Southlake, P.C.
- Taylor Ann Chishom, MD MPH
- Hardik Chodavadia, DDS
- Lauren Rose Chrane
- Hannah Christensen, LPC
- Karen Christensen, LPC, LSOTP
- Juliana Louise Christenson, LAC
- Christopher a Hughes MD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.