Active NPI
Metroplex Nematology Oncology Associates
Doing business as Immunodiagnostic Labs of TX Inc
- Clinical Medical Laboratory
- Arlington, TX
National Provider Identifier
1932277852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014329 | Other | COLA |
Other names 1
- Immunodiagnostic Labs of TX Inc
National Provider Directory
National Provider Directory- Tax ID family
- Metro Hematology Oncolo
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Arlington Cancer Center Pharmacy
- Pharmacy
- Arlington, TX
- NPI 1164423414
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
- Metroplex Hematology Oncology Associates (Arlington Cancer Center The Lakes at Matlock)
- Metroplex Hematology Oncology Associates (Arlington Cancer Center Pharmacy)
- Metroplex Hematology Oncology Associates (ACTC Radiotherapy)
- Metroplex Hematology Oncology Associates (Metroplex Medical Lab)
- Metroplex Hematology Oncology Associates (Metro Hemo Onc)
- Metroplex Rehab & Sports Injury (Victory Injury Centers, L.T.D.)
- Metroplex Sports Rehab Inc
- Metropolitian Pain Center, LLC
- Metx LLC
- Meyer Chiropractic Center PC
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.