Organization Active NPI

Maplewood Laboratories, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1821367061
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D2015778 Issued in TX
Legal business name
MAPLEWOOD LABORATORIES, LLC
Practice address
2515 Inwood Rd
Ste 107
Dallas, TX 75235
Phone
(469) 802-8301
Fax
(469) 802-8306
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Timothy Hayes
Title
Owner
Phone
(817) 226-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D2015778 TX Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

2515 Inwood Rd
Ste 107
Dallas, TX 75235

Mailing address

2515 Inwood Rd
Ste 107
Dallas, TX 75235
Phone (469) 802-8301

National Provider Directory

National Provider Directory

Locations

2515 Inwood Rd
Ste 107
Dallas, TX 75235
Phone (469) 802-8301

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1821367061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 INWOOD RD",
            "address_2": "STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "469-802-8301",
            "fax_number": "469-802-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 INWOOD RD",
            "address_2": "STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "469-802-8301",
            "fax_number": "469-802-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-226-6900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2015778",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 30, 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.