CCRM DFW, LLC (NPI# 1023642220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023642220 |
| Entity Type | Organization |
| Organization Name | CCRM DFW, LLC |
| Practice Address |
8380 Warren Pkwy Ste 201 Frisco TX 75034-4199 |
| Mailing Address |
9380 Station St Ste 425 Lone Tree CO 80124-6832 |
| Practice Telephone | 9723772625 |
| Mailing Telephone | 8609446273 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | JON PARDEW (CEO) |
| Authorized Official Telephone | 3039681950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 45D1095599 | 01 |
| Other Name | Type Code |
|---|---|
| CCRM Dallas Fort Worth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437636636 | Ccrm Dfw, LLC | Clinical Medical Laboratory | 8380 Warren Pkwy Ste 201, Frisco, TX 75034 | 2018-07-20 |
| Street Address |
8380 WARREN PKWY STE 201 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-4199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316231566 | Yetunde O Ibrahim | Obstetrics & Gynecology | 8380 Warren Pkwy Ste 201, Frisco, TX 75034 | 2011-06-06 |
| 1437636636 | Ccrm Dfw, LLC | Clinical Medical Laboratory | 8380 Warren Pkwy Ste 201, Frisco, TX 75034 | 2018-07-20 |
| 1578049052 | Conceptive Care | Clinic/Center | 8380 Warren Pkwy Ste 201, Frisco, TX 75034-4199 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871071506 | Assurance Labs | Clinical Medical Laboratory | 5050 Fm 423 Apt 5208, Frisco, TX 75034-7156 | 2018-08-03 |
| 1417450537 | Ayass Lung Clinic, Pllc | Clinical Medical Laboratory | 8501 Wade Blvd Ste 750, Frisco, TX 75034-6437 | 2018-03-15 |
| 1255879763 | Axis Professional Labs LLC | Clinical Medical Laboratory | 4500 Hillcrest Rd Ste 120, Frisco, TX 75035 | 2017-02-03 |
| 1619376316 | True Health Diagnostics, LLC | Clinical Medical Laboratory | 3803 Parkwood Blvd Ste 400, Frisco, TX 75034-8643 | 2014-08-19 |
| 1093138265 | John Alan Baccus | Clinical Medical Laboratory | 5000 El Dorado Parkway, Suite 150, Box 312, Frisco, TX 75033 | 2014-01-24 |
| 1548434632 | Omnipath Diagnostics of Texas, LLC | Clinical Medical Laboratory | 5858 Main, Ste 240, Frisco, TX 75034 | 2008-04-18 |
| 1437636636 | Ccrm Dfw, LLC | Clinical Medical Laboratory | 8380 Warren Pkwy Ste 201, Frisco, TX 75034 | 2018-07-20 |
| 1912360009 | Woodhills Labs Inc | Clinical Medical Laboratory | 7589 Preston Rd, Ste 700, Frisco, TX 75034-5667 | 2016-04-05 |
| 1558749713 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2015-05-08 |
| 1497145502 | Lucenta Laboratory LLC | Clinical Medical Laboratory | 7589 Preston Rd, Suite 900, Frisco, TX 75034-5667 | 2015-01-27 |
| Find all providers in FRISCO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.