Organization Active NPI

Medicus Laboratories, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1841505153
Registry record updated Jul 15, 2015
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • BRCH SA exclusion effective Nov 13, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDICUS LABORATORIES, LLC
Practice address
5710 LBJ Freeway
Suite 204
Dallas, TX 75240-6398
Phone
(972) 386-6399
Fax
(972) 386-6603
NPI assigned
Aug 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Dr. Jeffrey Lawrence Wasserman, MD
Title
President
Phone
(214) 886-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5710 LBJ Freeway
Suite 204
Dallas, TX 75240-6398

Mailing address

7809 Hanover St
Dallas, TX 75225-8221
Phone (214) 346-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

13601 Preston Rd
Ste 201
Dallas, TX 75240
Phone (972) 386-6399

6020 W Parker Rd
Ste 200
Plano, TX 75093
Phone (972) 403-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1841505153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 HANOVER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752258221",
            "telephone_number": "214-346-9988",
            "fax_number": "214-346-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 LBJ FREEWAY",
            "address_2": "SUITE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406398",
            "telephone_number": "972-386-6399",
            "fax_number": "972-386-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-886-2108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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

Verify at the official NPI Registry.