GIBSON DIAGNOSTIC LABS, LLC


Address: 813 N O Connor Rd, Irving, TX 75061-4510
Phone: 8558909589

GIBSON DIAGNOSTIC LABS, LLC (NPI# 1386023620) 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) 1386023620
Entity Type Organization
Organization Name GIBSON DIAGNOSTIC LABS, LLC
Practice Address 813 N O Connor Rd
Irving
TX 75061-4510
Practice Telephone 8558909589
Mailing Telephone 8558909589
Enumeration Date 2015-05-19
Last Update Date 2018-10-05
Authorized Official Name MR. AZMAT ALI SHAH (OWNER)
Authorized Official Telephone 8323667240
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 45D2095863 TX Laboratories

Office Location

Street Address 813 N O CONNOR RD
City IRVING
State TX
Zip Code 75061-4510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063922664 Prog Rx, LLC Clinic/Center 813 N O Connor Rd, Irving, TX 75061-4510 2017-10-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265925192 Health Texas Provider Network Durable Medical Equipment & Medical Supplies 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 2018-06-14
1356864722 Candace Leann Mullens Physician Assistant 2005 West Park Dr., Ste. 100, Irving, TX 75061 2017-07-18
1922489541 Azmat Shah Clinical Medical Laboratory 813 N. O'connor Road, Irving, TX 75061 2015-06-10
1689060261 James Justin Walker Specialist/Technologist 900 O'connor Road, Irving, TX 75061 2015-04-10
1790171379 Casey Elder Specialist/Technologist 900 North O'connor, Irving, TX 75061 2015-04-10
1720479900 Jack C Lewis Jr. Counselor 4120 Hackmore Loop, Irving, TX 75061 2015-02-10
1972931186 Linda Kottoor Nurse Practitioner 1800 North Britain Road, Irving, TX 75061 2013-10-24
1033457080 Edel H Cruz Rosales Hearing Instrument Specialist 613 North O'connor Rd, Suite 29, Irving, TX 75061 2013-01-26
1346520293 Tau Healing Services Counselor 1615 Cooper Dr., Irving, TX 75061 2011-08-24
1144520412 Gibson Pharmacy Pharmacy 815 N. Oconnor, Irving, TX 75061 2010-11-02
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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

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
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
1306152723 Nuepath 2, LLC Clinical Medical Laboratory 8340 Sterling St, Suite 2, Irving, TX 75063-2593 2010-08-23
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Competitor

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City IRVING
Zip Code 75061

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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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