Advanta Labs, Llc

LBN: Advanta Labs, Llc
Advanta Labs, Llc is an health care organization with primary practice located at 535 S Nolen Dr Ste 100 , Southlake TX 76092-9194. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Advanta Labs, Llc can be contacted via phone (817) 488-8000, or through Hadian, Yusuf M via phone (817) 488-8000.

Contact Information

Primary practice address
535 S Nolen Dr Ste 100 Southlake TX 76092-9194
Phone: (817) 488-8000
Fax: (817) 488-8001
Website:
Map and Directions
Authorized official contact:
Name: Hadian, Yusuf M
Phone: (817) 488-8000

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1801212766
LBN Legal business name Advanta Labs, Llc
DBA Doing business as
Authorized official Hadian, Yusuf M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2014
Last updated May 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801212766 NPPES
Texas Other 45D2072790 CLIA NUMBER
Texas MEDICAID 3715898-02 CLIA NUMBER

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