CCRM DFW, LLC
NPI 1023642220
Clinical Medical Laboratory in Frisco, TX

NPI Status: Active since February 26, 2020

Contact Information

8380 WARREN PKWY STE 201
FRISCO, TX
ZIP 75034
Phone: (972) 377-2625

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  • Organization
  • Clinical Medical Laboratory
  • Accepts Insurance
  • CLIA Number: 45D1095599
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 09-23-2025

About CCRM DFW, LLC

This page provides the complete NPI Profile along with additional information for Ccrm Dfw, Llc, a provider established in Frisco, Texas operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1023642220 assigned on February 2020. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jon Pardew (Ceo)

NPI
1023642220
Provider Name
CCRM DFW, LLC
Entity Type
Organization
Location Address
8380 WARREN PKWY STE 201 FRISCO, TX 75034
Location Phone
(972) 377-2625
Mailing Address
9380 STATION ST STE 425 LONE TREE, CO 80124
Mailing Phone
(860) 944-6273
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2020
Last Update Date
02-26-2020
Code Navigator

Establishments like Ccrm Dfw, Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Standard - HMO
  • UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON PARDEW

Authorized Official Title
CEO
Authorized Official Phone
(303) 968-1950

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
45D1095599OTHER (01)CLIA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1095599
Facility Type
Independent
Certificate Effective Date
September 24, 2023
Certificate Expiration Date
September 23, 2025
Laboratory Director
DR. TIFFINI GIBSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ccrm Dfw, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for CCRM DFW, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023642220
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043124424
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 2 + 4 + 4 + 2 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023642220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

CONCEPTIVE CARE

Obstetrics & Gynecology

(Reproductive Endocrinology)

8380 WARREN PKWY STE 201
FRISCO, TX
ZIP 75034

(972) 377-2625

CCRM DFW, LLC

Clinic/Center

(Ambulatory Surgical)

8380 WARREN PKWY STE 201
FRISCO, TX
ZIP 75034

(972) 377-2625

MRS. SHAINA ALEXANDER BABU FNP-C

Obstetrics & Gynecology

(Reproductive Endocrinology)

8380 WARREN PKWY STE 201
FRISCO, TX
ZIP 75034

(972) 377-2625

ALYSSA A LANNOO

Nurse Practitioner

(Family)

8380 WARREN PKWY STE 201
FRISCO, TX
ZIP 75034

(972) 377-2625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023642220, enumerated as an "organization" on February 26, 2020.

The provider is located at 8380 WARREN PKWY STE 201 FRISCO, TX 75034 and the phone number is (972) 377-2625.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.