MINERVA LABS LLC
NPI 1053112938
Clinical Medical Laboratory in Southlake, TX

Active since March 24, 2025
1203 S WHITE CHAPEL BLVD STE 150, SOUTHLAKE, TX 76092(817) 333-9898 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minerva Labs Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINERVA LABS LLC (NPI 1053112938) is a healthcare organization registered as a clinical medical laboratory in Southlake, Texas and active in the NPI registry since March 2025. The organization lists Nicholas Wiles, Owner, as its authorized official.

NPPES Registry Identity

NPI1053112938
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMINERVA LABS LLC
Location Address1203 S WHITE CHAPEL BLVD STE 150Southlake, TX 76092-9374
Mailing Address1203 S White Chapel Blvd Ste 150Southlake, TX 76092-9374
Organization SubpartNo
Authorized OfficialNicholas WilesOwner · (817) 333-9898
Enumeration DateMarch 24, 2025
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1053112938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
1203 S WHITE CHAPEL BLVD STE 150, Southlake, TX 76092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minerva Labs LLC's NPI number?

The NPI number for Minerva Labs LLC is 1053112938. It was assigned to this organization in the NPPES registry on March 24, 2025.

Where is Minerva Labs LLC located?

Minerva Labs LLC is located at 1203 S White Chapel Blvd Ste 150, Southlake, TX 76092. The listed phone number is (817) 333-9898.

What is Minerva Labs LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Minerva Labs LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.