Unified Laboratory Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNIFIED LABORATORY SERVICES LLC

Practice address

6116 Oakbend TRL
Ste 106
Ft Worth, TX 76132-3925

Phone

(817) 993-9857

Fax

(817) 294-3417

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Jeff Madison

Title

Partner

Phone

(817) 993-9857

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1841546678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N HAMPTON RD",
            "address_2": "STE 261",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154920",
            "telephone_number": "817-993-9857",
            "fax_number": "817-294-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 OAKBEND TRL",
            "address_2": "STE 106",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323925",
            "telephone_number": "817-993-9857",
            "fax_number": "817-294-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-993-9857"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.