Texas Molecular Diagnostics Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TEXAS MOLECULAR DIAGNOSTICS LABORATORY

Practice address

4324 N Belt Line Rd Ste C105
Irving, TX 75038-3538

Phone

(319) 594-4108

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Vivek Agarwal

Title

Owner

Phone

(682) 681-4870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1851059588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 N BELT LINE RD STE C105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383538",
            "telephone_number": "319-594-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 N BELT LINE RD STE C105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383538",
            "telephone_number": "319-594-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MOLECULAR DIAGNOSTICS LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-681-4870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Irving, TX
• Providers in Irving, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.