Marreo Group

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MARREO GROUP

Practice address

8204 Elmbrook Dr Ste 258
Dallas, TX 75247-4067

Phone

(817) 784-7464

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Charletta Marrero

Title

Administrator

Phone

(817) 784-7464

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1881347060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 ELMBROOK DR STE 258",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474067",
            "telephone_number": "817-784-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 ELMBROOK DR STE 258",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474067",
            "telephone_number": "817-784-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARREO GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "CHARLETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-784-7464"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "45D2248679",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marreogroupcovid@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8204 Elmbrook Dr Ste 258",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752474067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heajung Marr, MD
• Jacinda Marr
• John Fraser Marr, PH.D.
• Karina Marr, D.D.S.
• Alexa Marrach, PH.D.
• Hector Ivan Marrero, RDH
• Zydnia Michelle Marrero, D.M.D
• Sudha Marri
• Tejaswi Marri, MD
• Beyonce D Marroquin

• 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 Jan 28, 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.