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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 45D2095863 | TX | Laboratories |
| Street Address |
813 N O CONNOR RD |
| City | IRVING |
| State | TX |
| Zip Code | 75061-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063922664 | Prog Rx, LLC | Clinic/Center | 813 N O Connor Rd, Irving, TX 75061-4510 | 2017-10-09 |
| 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 |
| Find all providers in zip 75061 | ||||
| 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 |
| 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 |
| 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.