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UT SOUTHWESTERN MEDICAL CENTER
NPI 1104102888
General Acute Care Hospital in Dallas, TX

Active since October 26, 2011CLIA Certified · 3 labs
5161 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 648-7580(214) 648-2204 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ut Southwestern Medical Center NPPES

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

UT SOUTHWESTERN MEDICAL CENTER (NPI 1104102888) is a healthcare organization registered as a general acute care hospital in Dallas, Texas and active in the NPI registry since October 2011. The organization holds 3 active CLIA laboratory certificates and lists Bruce Mickey, Co Chair Dept. Neurosurgery, as its authorized official.

NPPES Registry Identity

NPI1104102888
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameUT SOUTHWESTERN MEDICAL CENTER
Location Address5161 HARRY HINES BOULEVARDDallas, TX 75390-8855
Mailing Address5161 Harry Hines BoulevardDallas, TX 75390-8855 · (214) 648-7580 · Fax (214) 648-2204
Phone(214) 648-7580
Fax(214) 648-2204
Organization SubpartNo
Authorized OfficialBruce MickeyCo Chair Dept. Neurosurgery · (214) 648-7894
Enumeration DateOctober 26, 2011
✔ NPI 1104102888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in TX · 589350
Definition
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.
5161 HARRY HINES BOULEVARD, Dallas, TX 75390
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2149631

Ut Southwestern Medical Center Professional Office Building · Dallas, TX
Active · expires Jun 6, 2028
CLIA Number45D2149631
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorJyoti P. Balani
Laboratory Phone(214) 633-4905
Laboratory LocationUt Southwestern Medical Center Professional Office Building5939 Harry Hines Blvd, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 45D0694169

Ut Southwestern Medical Center Skin Cancer Surgery And Oncology Clinic · Dallas, TX
Active · expires Apr 12, 2028
CLIA Number45D0694169
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorDivya Srivastava
Laboratory Phone(214) 645-8947
Laboratory LocationUt Southwestern Medical Center Skin Cancer Surgery And Oncology Clinic5939 Harry Hines Blvd, Pob2 4th Floor Dept Of Dermatology, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 45D2164448

Ut Southwestern Medical Center - Cystic Fibrosis Clinic · Dallas, TX
Active · expires Apr 4, 2027
CLIA Number45D2164448
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorRaksha Jain
Laboratory Phone(214) 645-0599
Laboratory LocationUt Southwestern Medical Center - Cystic Fibrosis Clinic5939 Harry Hines Blvd Pob II 3rd Floor Suite 334, Dallas, TX 75390
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ut Southwestern Medical Center's NPI number?

The NPI number for Ut Southwestern Medical Center is 1104102888. It was assigned to this organization in the NPPES registry on October 26, 2011.

Where is Ut Southwestern Medical Center located?

Ut Southwestern Medical Center is located at 5161 Harry Hines Boulevard, Dallas, TX 75390. The listed phone number is (214) 648-7580.

What is Ut Southwestern Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Ut Southwestern Medical Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ut Southwestern Medical Center was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.