45D2219913 CLIA NUMBER - JMTI, INC DBA USAMDT PLANO

Laboratory Demographics

  • CLIA Code: 45D2219913
  • Facility Name: JMTI, INC DBA USAMDT PLANO
  • Facility Address: 5700 TENNYSON PARKWAY SUITE 300
    PLANO, TX
    ZIP 75024
  • Facility Phone: 469 573-0547
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOSLYN TATUM
  • NPI Number: 1386236800
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2219913
LAB Type Community Clinic
Facility Name JMTI, INC DBA USAMDT PLANO
Street 5700 TENNYSON PARKWAY SUITE 300
City PLANO
State TX
ZIP 75024
Phone 469 573-0547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Community Clinic
Lab Director JOSLYN TATUM

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This page was last updated on: 9/29/2025