Stat Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STAT LABS, LLC

Practice address

15101 W FM 2147
Horseshoe Bay, TX 78657-2168

Phone

(713) 553-1321

NPI assigned

Dec 20, 2020

Organization subpart

No

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

Authorized official

Name

Kristopher Dusek, LNFA

Title

VP of Operations

Phone

(713) 553-1321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1750977005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 W FM 2147",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786572168",
            "telephone_number": "713-553-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 W FM 2147",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786572168",
            "telephone_number": "713-553-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 George Bush Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774931991",
            "country_code": "US",
            "telephone_number": "713-553-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAT LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "DUSEK",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "713-553-1321",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.