LEGACY DIAGNOSTIC LAB LLC
NPI 1114539046
Clinical Medical Laboratory in Richardson, TX

Active since August 21, 2020
1651 N COLLINS BLVD # 135, RICHARDSON, TX 75080(469) 872-0008 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Aug 21, 2020 (2 updates tracked since 2020).

About Legacy Diagnostic Lab Llc NPPES

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

LEGACY DIAGNOSTIC LAB LLC (NPI 1114539046) is a healthcare organization registered as a clinical medical laboratory in Richardson, Texas and active in the NPI registry since August 2020. The organization lists Othman Albdour, Owner, as its authorized official.

NPPES Registry Identity

NPI1114539046
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLEGACY DIAGNOSTIC LAB LLC
Location Address1651 N COLLINS BLVD # 135Richardson, TX 75080-3658
Mailing Address1651 N Collins Blvd # 135Richardson, TX 75080-3658 · (469) 872-0008
Organization SubpartNo
Authorized OfficialOthman AlbdourOwner · (678) 755-9468
Enumeration DateAugust 21, 2020
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
NPI 1114539046 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.
1651 N COLLINS BLVD # 135, Richardson, TX 75080

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 Legacy Diagnostic Lab LLC's NPI number?

The NPI number for Legacy Diagnostic Lab LLC is 1114539046. It was assigned to this organization in the NPPES registry on August 21, 2020.

Where is Legacy Diagnostic Lab LLC located?

Legacy Diagnostic Lab LLC is located at 1651 N Collins Blvd # 135, Richardson, TX 75080. The listed phone number is (469) 872-0008.

What is Legacy Diagnostic Lab 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 Legacy Diagnostic Lab LLC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.