PROMUS DIAGNOSTICS, LLC (NPI# 1033680681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033680681 |
| Entity Type | Organization |
| Organization Name | PROMUS DIAGNOSTICS, LLC |
| Practice Address |
2300 Dean Way Ste 130 Southlake TX 76092-1519 |
| Practice Telephone | 9723699530 |
| Practice Fax Number | 9726927116 |
| Mailing Telephone | 9723699530 |
| Mailing Fax Number | 9726927116 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Authorized Official Name | TY BRUGGMANN (CEO) |
| Authorized Official Telephone | 9723699530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
2300 DEAN WAY STE 130 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| 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 |
|---|---|---|---|---|
| 1356856041 | Elevate Diagnostics | Clinical Medical Laboratory | 535 S Nolen Dr Ste 200, Southlake, TX 76092-9194 | 2017-12-04 |
| 1598115214 | Clinical Neurosciences LLC | Clinical Medical Laboratory | 1804 Leeds Dr, Southlake, TX 76092-3576 | 2016-06-14 |
| 1053723171 | Mylabdfw, LLC. | Clinical Medical Laboratory | 580 Commerce St, Suite 150, Southlake, TX 76092-9155 | 2014-05-23 |
| 1073814448 | Diversified Diagnostics | Clinical Medical Laboratory | 2225 W Southlake Blvd, Suite 124, Southlake, TX 76092-6750 | 2010-11-16 |
| 1700234267 | Trufide Diagnostics, LLC | Clinical Medical Laboratory | 580 Commerce St, Suite 180, Southlake, TX 76092-9155 | 2016-05-25 |
| 1023473949 | Myos Labs, LLC | Clinical Medical Laboratory | 580 Commerce St, Suite 180, Southlake, TX 76092-9155 | 2015-12-18 |
| 1548637309 | Mylab Diagnostics, LLC | Clinical Medical Laboratory | 580 Commerce St, Suite 200, Southlake, TX 76092-9155 | 2015-08-27 |
| 1275739815 | Texas Digestive Disease Consultants, Pllc | Clinical Medical Laboratory | 505 S Nolen Dr, Ste B, Southlake, TX 76092-9167 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841202 | D-lab Services LLC | Clinical Medical Laboratory | 3022 Motley Dr Ste 300, Mesquite, TX 75150-3440 | 2020-11-05 |
| 1609477843 | Callis Investments LLC | Clinical Medical Laboratory | 4234 I-35 Frontage Rd, Denton, TX 76207 | 2020-11-04 |
| 1659972149 | L&h Scientific, LLC | Clinical Medical Laboratory | 2801 Osler Dr Ste 123, Grand Prairie, TX 75051-1059 | 2020-11-03 |
| 1457951923 | Logos Clinical Laboratory LLC | Clinical Medical Laboratory | 7920 Belt Line Rd Ste 200, Dallas, TX 75254-8653 | 2020-10-26 |
| 1336748417 | Texas Mobile Medical Labs | Clinical Medical Laboratory | 3003 S Loop W Ste 108, Houston, TX 77054-1371 | 2020-10-20 |
| 1699374819 | Servants Approach Consulting LLC | Clinical Medical Laboratory | 3416 Blazon Gold Way, El Paso, TX 79936-0674 | 2020-10-19 |
| 1245838671 | Raazi Clinical Laboratory LLC. | Clinical Medical Laboratory | 7171 Highway 6 N Ste 204, Houston, TX 77095-2422 | 2020-10-16 |
| 1275131914 | Datoba International LLC | Clinical Medical Laboratory | 7447 Harwin Dr Ste 103, Houston, TX 77036-2016 | 2020-10-14 |
| 1669079208 | Exova Diagnostics LLC | Clinical Medical Laboratory | 9884 Monroe Dr, Dallas, TX 75220-1506 | 2020-10-07 |
| 1417554098 | Discover Labs LLC | Clinical Medical Laboratory | 13776 N Us Highway 183 Ste 108, Austin, TX 78750-1875 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROMUS DIAGNOSTICS, LLC.
| 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.