AMERICAN ESOTERIC LABORATORIES (NPI# 1255432563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255432563 |
| Entity Type | Organization |
| Organization Name | AMERICAN ESOTERIC LABORATORIES |
| Practice Address |
6221 Riverside Dr Suite 119 Irving TX 75039-3528 |
| Practice Telephone | 9729109119 |
| Practice Fax Number | 2142392650 |
| Mailing Telephone | 9729109119 |
| Mailing Fax Number | 2142392650 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRYAN JONES (DIRECTOR OF ACCOUNTS RECEIVABLE) |
| Authorized Official Telephone | 9729109119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | TX | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1754954 | 05 |
| Street Address |
6221 RIVERSIDE DR SUITE 119 |
| City | IRVING |
| State | TX |
| Zip Code | 75039-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657245 | Tanner L Mattison | Pathology | 6221 Riverside Dr, Suite 119, Irving, TX 75039-3541 | 2006-04-07 |
| 1124228077 | Jennifer Marie Hurrell | Pathology | 6221 Riverside Dr, Suite 119, Irving, TX 75039-3541 | 2007-07-19 |
| 1063619922 | Mattison Pathology, L.l.p. | Pathology | 6221 Riverside Dr, Suite 119, Irving, TX 75039-3541 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| 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 |
|---|---|---|---|---|
| 1578184685 | Pain Management Physicians of Dallas, Pllc | Clinical Medical Laboratory | 8404 Sterling St Ste B, Irving, TX 75063-2527 | 2020-04-29 |
| 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 |
| 1780940270 | Usmd Diagnostic Services, LLC | Clinical Medical Laboratory | 6333 North State Highway 161, Suite 200, Irving, TX 75038-4049 | 2012-04-09 |
| Find all providers in IRVING | ||||
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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.