Trinity Clinical Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRINITY CLINICAL LABORATORIES, LLC

Practice address

751 Hebron Pkwy
Suite 110
Lewisville, TX 75057-5055

Phone

(972) 315-5013

Fax

(972) 315-5033

NPI assigned

Aug 28, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Grisham

Title

President

Phone

(940) 372-0082

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1891162665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 110",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575002",
            "telephone_number": "972-315-5013",
            "fax_number": "972-315-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY",
            "address_2": "SUITE 110",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575055",
            "telephone_number": "972-315-5013",
            "fax_number": "972-315-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "GRISHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-372-0082",
        "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 Lewisville, TX
• Providers in Lewisville, 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 Mar 11, 2019; 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.