Organization Active NPI

Peakcare Supplies LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1740077999
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PEAKCARE SUPPLIES LLC
Practice address
8330 Lyndon B Johnson Fwy Ste B636
Dallas, TX 75243-1166
Phone
(469) 880-1339
NPI assigned
Apr 22, 2025
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PEAKCARE SUPPLIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Unknown Fatima Begum
Title
President/Manager
Phone
(469) 880-1339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8330 Lyndon B Johnson Fwy Ste B636
Dallas, TX 75243-1166

Mailing address

8330 Lyndon B Johnson Fwy Ste B636
Dallas, TX 75243-1166

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
45D2321802Peakcare Supplies LLC8330 Lyndon B Johnson Fwy Ste B636, Dallas, TX 75243Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Peakcare Supplies LLC2 organizations share this tax ID, including this one
Part of
Peakcare Supplies LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8330 Lyndon B Johnson Fwy
Ste B636
Dallas, TX 75243
Phone (469) 880-1339

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1740077999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 LYNDON B JOHNSON FWY STE B636",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LYNDON B JOHNSON FWY STE B636",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431166",
            "telephone_number": "469-880-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKCARE SUPPLIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAKCARE SUPPLIES LLC",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "FATIMA BEGUM",
        "authorized_official_first_name": "UNKNOWN",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "469-880-1339"
    },
    "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 Apr 22, 2025; 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.

Verify at the official NPI Registry.