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PREMIER HISTOLOGY OF TEXAS LLC NPI 1629486659


NPI Information

NPI: 1629486659
Provider Name: PREMIER HISTOLOGY OF TEXAS LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 45D2080542

Address:
4560 BELT LINE RD
SUITE 405
ADDISON, TX
ZIP 75001
Phone: (214) 377-7210
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PREMIER HISTOLOGY OF TEXAS LLC is a clinical medical laboratory in Addison, TX. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PREMIER HISTOLOGY OF TEXAS LLC NPI is 1629486659. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4560 BELT LINE RD
SUITE 405
ADDISON, TX
ZIP 75001-505
Phone: (214) 377-7210

The provider's authorized official is Peter Kvapil .
The authorized official title is Member and has the following contact phone number (214) 377-7210.

The CLIA number assigned to this NPI record is 45D2080542 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/22/2014 and was last updated on 11/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyNo
2291U00000XClinical Medical LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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