PRIMARY PINNACLE DIAGNOSTIC LLC (NPI# 1972014116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972014116 |
| Entity Type | Organization |
| Organization Name | PRIMARY PINNACLE DIAGNOSTIC LLC |
| Practice Address |
1903 Central Dr Ste 215 Bedford TX 76021-5876 |
| Mailing Address |
Po Box 1138 Allen TX 75013-0018 |
| Practice Telephone | 8177868991 |
| Practice Fax Number | 2142615155 |
| Mailing Telephone | 9726659930 |
| Mailing Fax Number | 2142615155 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | RONNA BROOKS (VP REVENUE CYCLE) |
| Authorized Official Telephone | 9726659930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
1903 CENTRAL DR STE 215 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831612290 | Paramount Laboratories, LLC | Clinical Medical Laboratory | 1903 Central Dr Ste 215, Bedford, TX 76021-5876 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| 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 |
|---|---|---|---|---|
| 1639791007 | Ccl Labs LLC | Clinical Medical Laboratory | 2700 Tibbets Dr Ste 102, Bedford, TX 76022-6900 | 2020-05-08 |
| 1831612290 | Paramount Laboratories, LLC | Clinical Medical Laboratory | 1903 Central Dr Ste 215, Bedford, TX 76021-5876 | 2017-07-18 |
| 1629517602 | Accu-fast Labs, LLC | Clinical Medical Laboratory | 2700 Tibbets Dr Ste 406, Bedford, TX 76022-6900 | 2017-02-23 |
| 1235544610 | Pinnacle Laboratories | Clinical Medical Laboratory | 1605 Airport Fwy Ste 200, Bedford, TX 76021-5730 | 2014-06-24 |
| 1003227646 | S&s Labs LLC | Clinical Medical Laboratory | 1903 Central Dr Ste 220, Bedford, TX 76021-5876 | 2014-05-16 |
| 1518208065 | Truform Optics Inc | Clinical Medical Laboratory | 400 Harwood Rd, Bedford, TX 76021-4150 | 2013-03-08 |
| 1013154749 | Bedford Research Foundation | Clinical Medical Laboratory | 124 South Rd., Bedford, MA 01730 | 2009-01-16 |
| 1003061375 | Home Based Care and Counseling Programe Inc. | Clinical Medical Laboratory | 1220 Airport Fwy # 490, Bedford, TX 76022-6785 | 2008-11-29 |
| 1518041516 | Robert Yowler | Clinical Medical Laboratory | 325 Hwy. 42 East, Bedford, KY 40006 | 2006-10-25 |
| 1184620775 | Diagnostic Laboratory Medicine, Inc | Clinical Medical Laboratory | 14 Crosby Dr, Bedford, MA 01730-1451 | 2005-06-28 |
| Find all providers in BEDFORD | ||||
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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.