Active NPI
Maplewood Laboratories, LLC
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1821367061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 45D2015778
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.