FORTIS LABS LLC (NPI# 1932576931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932576931 |
| Entity Type | Organization |
| Organization Name | FORTIS LABS LLC |
| Practice Address |
1651 N Collins Blvd Ste 135 Richardson TX 75080-3658 |
| Practice Telephone | 4695309050 |
| Practice Fax Number | 4695309051 |
| Mailing Telephone | 4695309050 |
| Mailing Fax Number | 4695309051 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | MR. RON MANIPOL (COO/CCO) |
| Authorized Official Telephone | 3109754797 |
| Authorized Official Credential | MLS, ASCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 45D2098646 | TX | Laboratories |
| Street Address |
1651 N COLLINS BLVD STE 135 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1891355327 | Tx Diagnostics LLC | Clinical Medical Laboratory | 1651 N Collins Blvd Ste 130, Richardson, TX 75080-3658 | 2019-06-17 |
| 1841778560 | Dm Durham Consulting LLC | Clinical Medical Laboratory | 101 S Coit Rd Ste 36-320, Richardson, TX 75080-5743 | 2018-08-03 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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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.