Organization Active NPI

Metroplex Nematology Oncology Associates

Doing business as Immunodiagnostic Labs of TX Inc

  • Clinical Medical Laboratory
  • Arlington, TX
National Provider Identifier
1932277852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
METROPLEX NEMATOLOGY ONCOLOGY ASSOCIATES
Doing business as
Immunodiagnostic Labs of TX Inc
Practice address
Immunodiagnostic Labs of TX Inc
Arlington Cancer Center 900 W Randol Mill Rd #102
Arlington, TX 76012-2510
Phone
(817) 261-4906
Fax
(817) 261-5837
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karel Adriaan Dicke, MD PHD
Title
Ceo Managing Partner
Phone
(817) 261-4906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Immunodiagnostic Labs of TX Inc
Arlington Cancer Center 900 W Randol Mill Rd #102
Arlington, TX 76012-2510

Mailing address

Arlington Cancer Center
906 W Randol Mill Rd
Arlington, TX 76012-2510
Phone (817) 261-4906

Other identifiers 1

IdentifierTypeStateIssuer
014329OtherCOLA

Other names 1

  • Immunodiagnostic Labs of TX Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metro Hematology Oncolo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 W Randol Mill Rd
#102
Arlington, TX 76012
Phone (817) 261-4906

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932277852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARLINGTON CANCER CENTER",
            "address_2": "906 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122510",
            "telephone_number": "817-261-4906",
            "fax_number": "817-261-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IMMUNODIAGNOSTIC LABS OF TX INC",
            "address_2": "ARLINGTON CANCER CENTER 900 W RANDOL MILL RD #102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122510",
            "telephone_number": "817-261-4906",
            "fax_number": "817-261-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX NEMATOLOGY ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKE",
        "authorized_official_first_name": "KAREL",
        "authorized_official_middle_name": "ADRIAAN",
        "authorized_official_title_or_position": "CEO MANAGING PARTNER",
        "authorized_official_telephone_number": "817-261-4906",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "014329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immunodiagnostic Labs of TX Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.