Faces of Angels Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FACES OF ANGELS DIAGNOSTICS LLC

Practice address

324 E Belt Line Rd Ste 412
Desoto, TX 75115-5706

Phone

(214) 514-1836

NPI assigned

Aug 23, 2020

Organization subpart

No

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

Authorized official

Name

Janae Crenshaw, RNNPI 1700498474

Title

Owner

Phone

(214) 514-1836

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janae Crenshaw, RN

  • Registered Nurse
  • Desoto, TX
  • NPI 1700498474
  NPD Authorized official

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1972115657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ENCINO DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751467214",
            "telephone_number": "214-514-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E BELT LINE RD STE 412",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155706",
            "telephone_number": "214-514-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACES OF ANGELS DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "JANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-514-1836",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Desoto, TX
• Providers in Desoto, 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 Mar 11, 2021; 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.