UT SOUTHWESTERN MEDICAL CENTER
NPI 1104102888
General Acute Care Hospital in Dallas, TX
- Organization
- General Acute Care Hospital
- CLIA Number: 45D2149631
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 06-06-2028
About UT SOUTHWESTERN MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Ut Southwestern Medical Center, a provider established in Dallas, Texas operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1104102888 assigned on October 2011. The practitioner's primary taxonomy code is 282N00000X with license number 589350 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Bruce Mickey Md (Co Chair Dept. Neurosurgery)
- NPI
- 1104102888 Verify this NPI
- Provider Name
- UT SOUTHWESTERN MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 5161 HARRY HINES BOULEVARD DALLAS, TX 75390
- Location Phone
- (214) 648-7580
- Location Fax
- (214) 648-2204
- Mailing Address
- 5161 HARRY HINES BOULEVARD DALLAS, TX 75390
- Mailing Phone
- (214) 648-7580
- Mailing Fax
- (214) 648-2204
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-26-2011
- Last Update Date
- 10-26-2011
- Code Navigator
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
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- 589350
- License State
- TX
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
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
- 45D2149631
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- June 07, 2026
- Certificate Expiration Date
- June 06, 2028
- Laboratory Director
- JYOTI P. BALANI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ut Southwestern Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104102888, enumerated as an "organization" on October 26, 2011.
The provider is located at 5161 HARRY HINES BOULEVARD DALLAS, TX 75390 and the phone number is (214) 648-7580.
General Acute Care Hospital with taxonomy code 282N00000X.
