LAKERIDGE LABORATORY INC (NPI# 1972829513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972829513 |
| Entity Type | Organization |
| Organization Name | LAKERIDGE LABORATORY INC |
| Other Organization Name | LAKERIDGE LABORATORY |
| Practice Address |
5130 82nd St Lubbock TX 79424-3024 |
| Mailing Address |
1712 E Riverside Dr Ste 232 Austin TX 78741-1320 |
| Practice Telephone | 5129136512 |
| Mailing Telephone | 5129136512 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-06-29 |
| Authorized Official Name | JUAN E MARTIN JR. (PRESIDENT) |
| Authorized Official Telephone | 5129136512 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 45D0678293 | TX | Laboratories |
| Other Name | Type Code |
|---|---|
| lakeridge laboratory | Doing Business As Name - Organization |
| Street Address |
5130 82ND ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878741 | Patricia Cumming Hood | Family Medicine | 5130 82nd St, Lubbock, TX 79424-3024 | 2005-08-16 |
| 1306367826 | Kayla Rae Beier | Nurse Practitioner | 5130 82nd St, Lubbock, TX 79424-3024 | 2017-07-06 |
| 1831579382 | David R Long Md Pa | Family Medicine | 5130 82nd St, Lubbock, TX 79424-3024 | 2015-05-30 |
| 1679873657 | Kristen Dyan Garrison | Physician Assistant | 5130 82nd St, Lubbock, TX 79424-3024 | 2010-10-25 |
| 1114946480 | David R Long | Family Medicine | 5130 82nd St, Lubbock, TX 79424-3024 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| 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 |
|---|---|---|---|---|
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1881259760 | Microit Diagnostics Inc | Clinical Medical Laboratory | 5117 34th St Ste B, Lubbock, TX 79410-2304 | 2019-05-06 |
| 1114205580 | Spiro Stat Technologies, L.p. | Clinical Medical Laboratory | 1004 Garfield Dr, Bldg 340, Lubbock, TX 79416-2118 | 2011-08-02 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| 1689886319 | City of Lubbock Health Department | Clinical Medical Laboratory | 1902 Texas Ave, Lubbock, TX 79411 | 2007-05-04 |
| 1649354085 | Leannah Investment Partners, Ltd | Clinical Medical Laboratory | 4020 21st St Ste 5, Lubbock, TX 79410-1126 | 2006-10-24 |
| 1093820763 | Mattison Pathology, LLP | Clinical Medical Laboratory | 410 N Utica Ave, Lubbock, TX 79416-3035 | 2006-08-20 |
| 1861415648 | Southwest Diagnostic Clinic LLP | Clinical Medical Laboratory | 3801 50th Street, Lubbock, TX 79413-3859 | 2006-07-25 |
| 1619931284 | Richards Laboratories of Texas | Clinical Medical Laboratory | 3305 81st St, Suite 5, Lubbock, TX 79423-2042 | 2006-04-12 |
| 1548246986 | Laboratory Corporation of America | Clinical Medical Laboratory | 4014 22nd Place, Suite 5, Lubbock, TX 79410-0000 | 2005-12-19 |
| Find all providers in LUBBOCK | ||||
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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.