NORTH LAKE LABORATORY LLC


Address: 1209 N Ave, Ste 3, Plano, TX 75074-8600
Phone: 9724221009

NORTH LAKE LABORATORY LLC (NPI# 1083001366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083001366
Entity Type Organization
Organization Name NORTH LAKE LABORATORY LLC
Practice Address 1209 N Ave
Ste 3
Plano
TX 75074-8600
Practice Telephone 9724221009
Mailing Telephone 9724221009
Enumeration Date 2015-04-23
Last Update Date 2015-04-23
Authorized Official Name TONY SCOTT (MANAGING PARTNER)
Authorized Official Telephone 9724221009
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 45D2092364 TX Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
TX CLIA 45D2092364 01

Office Location

Street Address 1209 N AVE
STE 3
City PLANO
State TX
Zip Code 75074-8600

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

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City PLANO
Zip Code 75074

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Dataset Information

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.

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