Greystone Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GREYSTONE DIAGNOSTICS

Practice address

10042 Monroe Dr
Dallas, TX 75229-5703

Phone

(888) 220-0322

Fax

(888) 235-8044

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Kevin Jackson

Title

Credentialing

Phone

(618) 579-4964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1851917207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10042 MONROE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295703",
            "telephone_number": "888-220-0322",
            "fax_number": "888-235-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10042 MONROE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295703",
            "telephone_number": "888-220-0322",
            "fax_number": "888-235-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYSTONE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "618-579-4964"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kabir Grewal
• Kanu Priya Grewal
• Pavneet K Grewal, NP
• Preety Grewal, OD
• Barbara Lynn Greyson, M.D.
• Megan Gribbons, MD
• Katherine Arvesen Griege, MCN, RD, LD, CEDS
• Manuel Griego Jr., D.O.
• Jacob A. Gries, DC
• Landis K Griffeth, PHD MD

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, 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 Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.