NPIMap

Organization Active NPI

Texas Health Harris Methodist Hospital Fort Worth

Doing business as Texas Health Medical Labs

  • Clinical Medical Laboratory
  • Fort Worth, TX
National Provider Identifier
1912130774
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Doing business as
Texas Health Medical Labs
Practice address
1401 Pennsylvania Ave
Fort Worth, TX 76104-2113
Phone
(817) 250-5672
Fax
(817) 250-5579
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Jeff Mincher
Title
SVP Revenue Cycle
Phone
(682) 236-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1401 Pennsylvania Ave
Fort Worth, TX 76104-2113

Mailing address

1401 Pennsylvania Ave
Fort Worth, TX 76104-2113
Phone (817) 250-5672

Other identifiers 2

IdentifierTypeStateIssuer
2087501OtherCOLLEGE OF AMERICAN PATHOLOGIST
45D0701182OtherCLIA

Other names 1

  • Texas Health Medical Labs Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0701182Texas Health Harris Methodist Hospital1401 Pennsylvania Avenue, Fort Worth, TX 76104AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1912130774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042113",
            "telephone_number": "817-250-5672",
            "fax_number": "817-250-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042113",
            "telephone_number": "817-250-5672",
            "fax_number": "817-250-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MINCHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SVP REVENUE CYCLE",
        "authorized_official_telephone_number": "682-236-3013"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLEGE OF AMERICAN PATHOLOGIST",
            "identifier": "2087501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0701182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Medical Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.