CMMS Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2119882 Issued in TX

Legal business name

CMMS LAB, LLC

Doing business as

CMMS Lab Services

Practice address

4360 Beltway PL
Suite 280
Arlington, TX 76018-5262

Phone

(877) 304-2667

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Stephen R Nelson

Title

LLC Manager and President

Phone

(512) 392-4411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CMMS Lab Services Doing business as

Locations

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1952844201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 BELTWAY PL",
            "address_2": "SUITE 280",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185262",
            "telephone_number": "877-304-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 BELTWAY PL",
            "address_2": "SUITE 280",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185262",
            "telephone_number": "877-304-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMMS LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LLC MANAGER AND PRESIDENT",
        "authorized_official_telephone_number": "512-392-4411"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2119882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2119882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMMS Lab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Laine Clinton
• Shelby Clinton, RBT
• Marty L Cloin, DDS
• Charles Adam Cluchey, LPC
• Cluster Diagnostics Inc
• Lori Kaye Coakley, PTA
• Travis Coates, MD
• Christopher Lee Coats, D.D.S.
• Norman H Cobb, LCSW
• Megan M Coblentz, M.A.

• Clinical Medical Laboratory in Arlington, TX
• Providers in Arlington, 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 Nov 18, 2016; 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.