Active NPI
TX Diagnostics LLC
- Clinical Medical Laboratory
- Richardson, TX
National Provider Identifier
1891355327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- TX DIAGNOSTICS LLC
- Practice address
- 1651 N Collins Blvd Ste 130
Richardson, TX 75080-3658 - Phone
- (214) 396-3852
- Fax
- (214) 396-3853
- NPI assigned
- Jun 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory David Lutin
- Title
- Managing Member
- Phone
- (214) 396-3852
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1651 N Collins Blvd Ste 130
Richardson, TX 75080-3658
Mailing address
305 NE 2ND Ave
PO Box 37
Delray Beach, FL 33444-3801
Phone (214) 396-3852
National Provider Directory
National Provider DirectoryLocations
2263 Valdina St
Ste 100B
Dallas, TX 75207
Phone (214) 396-3852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604620800000",
"number": "1891355327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE 2ND AVE",
"address_2": "PO BOX 37",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334443801",
"telephone_number": "214-396-3852",
"fax_number": "214-396-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 N COLLINS BLVD STE 130",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803658",
"telephone_number": "214-396-3852",
"fax_number": "214-396-3853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TX DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-17",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A",
"authorized_official_last_name": "LUTIN",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "214-396-3852",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.