PROMUS DIAGNOSTICS LLC NPI 1033680681

NPI Details

PROMUS DIAGNOSTICS, LLC is a clinical medical laboratory in Southlake, 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. PROMUS DIAGNOSTICS, LLC NPI is 1033680681. The provider is registered as an organization entity type.

The provider's business location address is:

525 S KIMBALL AVE
SOUTHLAKE, TX
ZIP 76092-064
Phone: (817) 778-9210
Fax: (817) 778-9244

The provider's authorized official is Victor Sansone .
The authorized official title is Owner and has the following contact phone number (817) 778-9210.

The CLIA number assigned to this NPI record is 45D2156626 - independent with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
• Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
• Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
• Identification of organisms by genetic analysis, amplified probe technique (HCPCS:87150)
• Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source (HCPCS:G2023)
• Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
• Detection test by nucleic acid for multiple organisms, amplified probe(s) technique (HCPCS:87801)
• Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
• Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique (HCPCS:87653)
• Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique (HCPCS:87641)
• Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
• Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
• Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
• Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
• Blood test, comprehensive group of blood chemicals (HCPCS:80053)
• Hemoglobin a1c level (HCPCS:83036)
• Ldl cholesterol level (HCPCS:83721)
• Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
• Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
• Thyroid hormone, t3 measurement, free (HCPCS:84481)
• Vitamin d-3 level (HCPCS:82306)
• Measurement of neutralizing antibody to severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:86409)
• Thyroxine (thyroid chemical), free (HCPCS:84439)
• Uric acid level, blood (HCPCS:84550)
• Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
• Urine microalbumin (protein) level (HCPCS:82043)
• Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
• Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique (HCPCS:87661)
• Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
• Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique (HCPCS:87491)
• Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique (HCPCS:87591)
• Magnesium level (HCPCS:83735)
• Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
• Detection of mycoplasma genitalium by dna or rna probe (HCPCS:87563)
• Microsomal antibodies (autoantibody) measurement (HCPCS:86376)
• Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
• Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
• Liver function blood test panel (HCPCS:80076)
• Blood test, clotting time (HCPCS:85610)
• Coagulation assessment blood test, plasma or whole blood (HCPCS:85730)

The enumeration date for this NPI number is 12/7/2018 and was last updated on 5/8/2025.

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: