LIGHTHOUSE LABS LLC (NPI# 1114306636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114306636 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE LABS LLC |
| Practice Address |
1735 Keller Springs Rd Ste 202 Carrollton TX 75006-3006 |
| Mailing Address |
1735 Keller Springs Rd Ste 202 Carrollton TX 75006-2962 |
| Practice Telephone | 9722425388 |
| Mailing Telephone | 9722425388 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | JASON BOURQUE (OWNER) |
| Authorized Official Telephone | 9722425388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 45D2095694 | TX | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIGHTHOUSE LABS LLC | 26 Rose Hill Rd, Montebello, Ny 10901 |
| Street Address |
1735 KELLER SPRINGS RD STE 202 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75006-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967659 | Jessica Villarreal | Counselor | 1735 Keller Springs Rd Ste 202, Carrollton, TX 75006-3006 | 2020-03-17 |
| 1750916342 | Margaret Ann Mccrummen | Counselor | 1735 Keller Springs Rd Ste 202, Carrollton, TX 75006-3006 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
| 1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
| 1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
| Find all providers in zip 75006 | ||||
| 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 |
|---|---|---|---|---|
| 1639777899 | White Coat Sciences LLC | Clinical Medical Laboratory | 315 Bankhead Hwy Ste A, Carrollton, GA 30117-2487 | 2020-10-11 |
| 1417574666 | Devlab | Clinical Medical Laboratory | 4100 Fairway Dr Ste 100, Carrollton, TX 75010-6526 | 2020-07-02 |
| 1023653623 | Mycodart Inc | Clinical Medical Laboratory | 4100 Fairway Dr Ste 640, Carrollton, TX 75010-6525 | 2019-11-07 |
| 1609316132 | Abs Labs LLC | Clinical Medical Laboratory | 1600 Wallace Dr, Suite 110, Carrollton, TX 75006-8006 | 2017-03-02 |
| 1952843294 | Star Labs | Clinical Medical Laboratory | 1735 Keller Springs Rd Ste 208, Carrollton, TX 75006-3015 | 2016-11-16 |
| 1689025116 | New Schryver LLC | Clinical Medical Laboratory | 3414 Midcourt Rd Ste 112, Carrollton, TX 75006-5092 | 2016-06-27 |
| 1407206303 | Bds Healthcare, LLC | Clinical Medical Laboratory | 1321 Valwood Pkwy Ste 660, Carrollton, TX 75006-6889 | 2016-06-21 |
| 1316326838 | Reliable Labs LLC | Clinical Medical Laboratory | 1735 Keller Springs Rd Ste 210b, Carrollton, TX 75006-3014 | 2015-05-29 |
| 1720498876 | Lotus Labs | Clinical Medical Laboratory | 1735 Keller Springs Rd Ste 210, Carrollton, TX 75006-3014 | 2014-04-29 |
| 1407273444 | Dmm Lab LLC | Clinical Medical Laboratory | 1521 Mapleview Dr, Carrollton, TX 75007-6019 | 2014-03-27 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75006 |
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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.