Assurance Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ASSURANCE LABS

Practice address

6009 W Parker Rd # 208
Plano, TX 75093-8120

Phone

(972) 439-0126

Fax

(214) 446-6899

NPI assigned

Aug 3, 2018

Last updated

Apr 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derrick Thompson Sr.NPI 1235951211

Title

Owner/President

Phone

(469) 757-0114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OnTime Mobile Phlebotomy Service Other name

Locations

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.

• Derrick Thompson

  • Electroneurodiagnostic Specialist/Technologist
  • Tulsa, OK
  • NPI 1235951211
  NPD Authorized official

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1871071506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 W PARKER RD # 208",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938120",
            "telephone_number": "469-757-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 W PARKER RD # 208",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938120",
            "telephone_number": "972-439-0126",
            "fax_number": "214-446-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2022-04-18",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "469-757-0114",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EINS",
            "identifier": "82-2823731",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnTime Mobile Phlebotomy Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Plano, TX
• Providers in Plano, 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 Apr 18, 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.