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PRODIGY TOXICOLOGY LLC NPI 1881097509


NPI Information

NPI: 1881097509
Provider Name: PRODIGY TOXICOLOGY LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
3861 LONG PRAIRIE RD STE 109
FLOWER MOUND, TX
ZIP 75028
Phone: (214) 513-8700
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PRODIGY TOXICOLOGY LLC is a clinical medical laboratory in Flower Mound, 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. PRODIGY TOXICOLOGY LLC NPI is 1881097509. The provider is registered as an organization entity type.

The provider's business location address is:

3861 LONG PRAIRIE RD STE 109
FLOWER MOUND, TX
ZIP 75028-799
Phone: (214) 513-8700
Fax: (214) 513-8730

The provider's authorized official is Kim Sivaraman .
The authorized official title is Billing Manager and has the following contact phone number (214) 618-5600.

The enumeration date for this NPI number is 10/8/2014 and was last updated on 10/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory45D2084574TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145D2084574OTHERTEXASCLIA

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: 4/28/2024

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