Active NPI
Medicus Laboratories, LLC
- Clinical Medical Laboratory
- Dallas, TX
On this page
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.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Dallas, TX
- NPI 1952418972
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
- Medical Staffing Network, Inc. (Nurses Plus)
- Medical Transportation Services
- Medicinesplus Integrative Care LLC (Imedsplus I-Care)
- Medicinesplus LLC (iMedsPlus the i-lab)
- Medicus Laboratories
- Medigy Group PLLC
- Rosalind Medina Figueroa
- Danny Medina Rivera
- Ricardo Andres Medina-Centeno, MD
- Adda O Medina, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.