Organization Active NPI

Amerihealth Laboratory, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1760874796
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AMERIHEALTH LABORATORY, LLC
Practice address
4225 Office Pkwy
Suite 110
Dallas, TX 75204-3628
Phone
(281) 620-4880
Fax
(832) 201-7397
NPI assigned
Feb 27, 2015
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Leonel Palatnik
Title
Owner
Phone
(817) 821-8736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4225 Office Pkwy
Suite 110
Dallas, TX 75204-3628

Mailing address

4225 Office Pkwy Ste 110
Dallas, TX 75204-3628
Phone (281) 620-4880

Other identifiers 1

IdentifierTypeStateIssuer
349370201MedicaidTX

National Provider Directory

National Provider Directory

Locations

4225 Office Pkwy
Ste 110
Dallas, TX 75204
Phone (214) 299-5262

7025 W Tidwell Rd
Ste H104
Houston, TX 77092
Phone (832) 779-0165

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1760874796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 OFFICE PKWY STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043628",
            "telephone_number": "281-620-4880",
            "fax_number": "832-201-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 OFFICE PKWY",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043628",
            "telephone_number": "281-620-4880",
            "fax_number": "832-201-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIHEALTH LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "PALATNIK",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-821-8736"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349370201",
            "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 Oct 14, 2020; 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.