Organization · Type 2 NPI

Promus Diagnostics, LLC

Clinical Medical Laboratory · Southlake, TX

NPI number 1033680681 Active

Practice location

525 S Kimball Ave
Southlake, TX 76092-8064

Fax (817) 778-9244

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

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 det…

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About NPI 1033680681

Promus Diagnostics, LLC's National Provider Identifier is 1033680681, issued on Dec 7, 2018. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Southlake, TX. The record was last updated on Mar 26, 2026.