SOUTHLAKE DIAGNOSTICS INC – Clinical Medical Laboratory, NPI 1053723171

SOUTHLAKE DIAGNOSTICS INC is a healthcare provider. based in Southlake, Texas. specializing in Clinical Medical Laboratory. The NPI Number for SOUTHLAKE DIAGNOSTICS INC is 1053723171

Main info

Organization
Name
SOUTHLAKE DIAGNOSTICS INC
NPI
1053723171
Phone
(817) 421-7414
Address
580 COMMERCE ST
Authorized Official
MR. DON STABLES JR. CEO
Enumeration Date
23 May 2014
Last Update Date
22 July 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for SOUTHLAKE DIAGNOSTICS INC

  • 580 COMMERCE ST

    SUITE 150

    SOUTHLAKE, TX 760929155

    Phone: (817) 421-7414

    Type: Location

  • 580 COMMERCE ST STE 150B

    SOUTHLAKE, TX 760929214

    Phone: (817) 421-7414

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 76092)

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Frequently asked questions

Does SOUTHLAKE DIAGNOSTICS INC have a public NPI I can cite?
Public records show SOUTHLAKE DIAGNOSTICS INC under NPI 1053723171.
Quick check: is SOUTHLAKE DIAGNOSTICS INC active?
Public NPPES data shows SOUTHLAKE DIAGNOSTICS INC with an active NPI status right now.
What services align with SOUTHLAKE DIAGNOSTICS INC's listing?
SOUTHLAKE DIAGNOSTICS INC's public classification highlights Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SOUTHLAKE DIAGNOSTICS INC?
SOUTHLAKE DIAGNOSTICS INC is associated with Southlake, Texas in the same public data insurers reference.
Who maintains SOUTHLAKE DIAGNOSTICS INC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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