Suretest Laboratory,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D1092429 Issued in TX

Legal business name

SURETEST LABORATORY,LLC

Practice address

4609 County Road 919
Crowley, TX 76036-5535

Phone

(817) 426-9355

Fax

(817) 426-9357

NPI assigned

Jun 21, 2010

Last updated

Aug 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Charles Lutka Jr.NPI 1083806178

Title

Owner

Phone

(817) 426-9355

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph C Lutka Jr.

  • Clinical Medical Laboratory
  • Crowley, TX
  • NPI 1083806178
  NPD (past) Authorized official

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1962723379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 COUNTY ROAD 919",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760365535",
            "telephone_number": "817-426-9355",
            "fax_number": "817-426-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 COUNTY ROAD 919",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760365535",
            "telephone_number": "817-426-9355",
            "fax_number": "817-426-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURETEST LABORATORY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "LUTKA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-426-9355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1092429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183907801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TPAN",
            "identifier": "CL1045",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stampleyshealthcaresolution
• Cindi Stickle, CHC
• Staci Strickland, OTR
• Charles Benson Sudell
• Kathy Lorriene Sullivent, LVN
• Saba Saleem Tareen, DMD
• Viktoria Taskov
• Lori Anne Taylor
• Rhema Taylor
• The Doc's Office Medical Group, PLLC (The Doc's Office - Advanced Health and Wellness)

• Clinical Medical Laboratory in Crowley, TX
• Providers in Crowley, 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 Aug 13, 2010; 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.