CONVERGENT DIAGNOSTICS, LLC - CONVERGENT CLINICAL PATHOLOGY


Address: 4011 E Renner Rd Ste 108, Richardson, TX 75082-2917
Phone: 2145015171

CONVERGENT DIAGNOSTICS, LLC - CONVERGENT CLINICAL PATHOLOGY (NPI# 1124539507) 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) 1124539507
Entity Type Organization
Organization Name CONVERGENT DIAGNOSTICS, LLC - CONVERGENT CLINICAL PATHOLOGY
Other Organization Name CONVERGENT DIAGNOSTICS, LLC- CONVERGENT CLINICAL PATHOLOGY
Practice Address 4011 E Renner Rd Ste 108
Richardson
TX 75082-2917
Mailing Address 190 E Stacy Rd Ste 306-198
Allen
TX 75002-8734
Practice Telephone 2145015171
Practice Fax Number 2149190017
Enumeration Date 2017-10-12
Last Update Date 2017-10-17
Authorized Official Name BELINDA ACOSTA (BILLING COORDINATOR)
Authorized Official Telephone 2145015171
Is Organization Subpart Y
Parent Organization Name CONVERGENT DIAGNOSTICS, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 45D2113081 TX Laboratories

Other Provider/Organization Names

Other Name Type Code
Convergent Diagnostics, LLC- Convergent Clinical Pathology Doing Business As Name - Organization

Office Location

Street Address 4011 E RENNER RD STE 108
City RICHARDSON
State TX
Zip Code 75082-2917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902316318 Convergent Diagnostics, LLC - Convergent Medical Durable Medical Equipment & Medical Supplies 4011 E Renner Rd Ste 108, Richardson, TX 75082-2917 2017-10-11
1326559717 Convergent Diagnostics, LLC - Convergent Histo Path Clinical Medical Laboratory 4011 E Renner Rd Ste 108, Richardson, TX 75082-2917 2017-10-12

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NPI Name Taxonomy Address Enumeration
1124505367 Texas Center for Hip & Knee Replacement Surgery, Pllc Orthopaedic Surgery Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 2018-07-20
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1174021760 Kevin V Hua Dentist 4251 E. Renner Rd-, #126, Richardson, TX 75082 2018-01-29
1912410739 Ntx Anesthesiology Consultants Pllc Anesthesiology 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 2017-11-15
1982123931 Jessica A Baxter Occupational Therapist 2150 Lakeside Blvd #150, Richardson, TX 75082 2017-09-11
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114539046 Legacy Diagnostic Lab LLC Clinical Medical Laboratory 1651 N Collins Blvd # 135, Richardson, TX 75080-3658 2020-08-21
1366956302 Onyx Laboratories LLC Clinical Medical Laboratory 1750 N Collins Blvd Ste 100, Richardson, TX 75080-3551 2017-11-29
1275987034 Labs2run Inc. Clinical Medical Laboratory 2050 N Collins Blvd Suite 104, Richardson, TX 75080 2016-04-19
1972970978 Crestar Labs LLC Clinical Medical Laboratory 1651 N Collins Blvd Ste 130, Richardson, TX 75080-3658 2015-08-25
1932576931 Fortis Labs LLC Clinical Medical Laboratory 1651 N Collins Blvd Ste 135, Richardson, TX 75080-3658 2015-08-25
1801212766 Advanta Labs, LLC Clinical Medical Laboratory 1651 N Collins Blvd Ste 180, Richardson, TX 75080-3604 2014-03-14
1841367620 Enviro Health Systems Inc. Clinical Medical Laboratory 990 N Bowser Rd, Suite 800, Richardson, TX 75081-2896 2006-11-29
1770546467 Allmed Sales & Rentals, Inc Clinical Medical Laboratory 1778 N Plano Rd Ste 200, Richardson, TX 75081-1962 2006-04-11
1568004133 Crestar Labs Dx LLC Clinical Medical Laboratory 1651 N Collins Blvd Ste 180, Richardson, TX 75080-3604 2019-10-15
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City RICHARDSON
Zip Code 75082

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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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