INFORM DIAGNOSTICS, INC


Address: 6655 North Macarthur Boulevard, Irving, TX 75039-2243
Phone: 8009798292

INFORM DIAGNOSTICS, INC (NPI# 1467433292) 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) 1467433292
Entity Type Organization
Organization Name INFORM DIAGNOSTICS, INC
Other Organization Name (F/K/A CARIS DIAGNOSTICS, INC.)
Practice Address 6655 North Macarthur Boulevard
Irving
TX 75039-2243
Mailing Address 6655 North Macarthur Boulevard
Attn: Provider Enrollment Dept
Irving
TX 75039-2443
Practice Telephone 8009798292
Practice Fax Number 9727670126
Mailing Telephone 4696216078
Enumeration Date 2005-11-09
Last Update Date 2019-10-28
Authorized Official Name DANA ARLENE SIMONDS (SVP-CHIEF COMPLIANCE/ETHICS OFFICER)
Authorized Official Telephone 2142778700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
(f/k/a Caris Diagnostics, Inc.) Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548604051 Inform Diagnostics, Inc Pathology 9978 Washington St, Camp Dennison, OH 45111-9717 2013-04-26
1821400920 Inform Diagnostics, Inc Pathology 13854 Lakeside Cir, Sterling Heights, MI 48313-1316 2014-05-22

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities INFORM DIAGNOSTICS, INC. 6655 N Macarthur Blvd, Irving, TX 75039-2443
Colorado Business Entities Inform Diagnostics, Inc. 6655 N. Macarthur Blvd, Irvine, TX 75039
Alabama Business Registrations Inform Diagnostics, Inc. 6655 N Macarthur Blvd, Irving, TX 75039

Office Location

Street Address 6655 NORTH MACARTHUR BOULEVARD
City IRVING
State TX
Zip Code 75039-2243

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NPI Name Taxonomy Address Enumeration
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1932753894 Jane Spagnoletti Niemtschk Pharmacist 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 2019-07-30
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1619489978 Eric Reaves Assistant Behavior Analyst 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 2017-10-26
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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

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1386118149 Medstar Laboratory LLC Clinical Medical Laboratory 9901 Valley Ranch Pkwy E Ste 3015, Irving, TX 75063-7184 2019-01-15
1558869438 Goto Lab Express Texas LLC Clinical Medical Laboratory 1300 W Walnut Hill Ln Ste 256, Irving, TX 75038-2914 2018-01-25
1033650866 Firstox Laboratories, LLC Clinical Medical Laboratory 4850 Plaza Dr, Irving, TX 75063-2317 2017-03-13
1023472891 Lakeside Clinical Laboratory LLC Clinical Medical Laboratory 2211 Century Center Blvd Ste 110, Irving, TX 75062-4960 2016-04-07
1922489541 Azmat Shah Clinical Medical Laboratory 813 N. O'connor Road, Irving, TX 75061 2015-06-10
1386023620 Gibson Diagnostic Labs, LLC Clinical Medical Laboratory 813 N O Connor Rd, Irving, TX 75061-4510 2015-05-19
1265839963 Quicklabs Usa LLC Clinical Medical Laboratory 611 N Macarthur Blvd Ste 115, Irving, TX 75061-7423 2014-11-24
1730586512 Medlab Diagnostics Inc Clinical Medical Laboratory 616 N Macarthur Blvd, Irving, TX 75061-7424 2014-11-23
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City IRVING
Zip Code 75039

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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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