CONCENTRA MEDICAL CENTERS
NPI 1184978389
Clinic/Center - Occupational Medicine in Fort Worth, TX
- Organization
- Clinic/Center
- Occupational Medicine
- CLIA Number: 45D2010354
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-26-2026
About CONCENTRA MEDICAL CENTERS
This page provides the complete NPI Profile along with additional information for Concentra Medical Centers, a provider established in Fort Worth, Texas operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1184978389 assigned on November 2012. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Concentra Medical Centers. The authorized official of this NPI record is Dr. William Tom Fogarty M.d. (President)
- NPI
- 1184978389 Verify this NPI
- Provider Legal Name
- ONSITE OCCMED PA
- Other Organization Name
- CONCENTRA MEDICAL CENTERS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4060 SANDSHELL DR FORT WORTH, TX 76137
- Location Phone
- (817) 306-9777
- Location Fax
- (817) 306-9780
- Mailing Address
- 5080 SPECTRUM DR SUITE 1200 WEST ADDISON, TX 75001
- Mailing Phone
- (972) 364-8000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2012
- Last Update Date
- 11-09-2012
- 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
Clinic/Center Occupational Medicine
- Taxonomy Code
- 261QX0100X
- Type
- Ambulatory Health Care Facilities
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
- 45D2010354
- Facility Type
- Physician Office
- Certificate Effective Date
- July 27, 2024
- Certificate Expiration Date
- July 26, 2026
- Laboratory Director
- MIKEL BELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Concentra Medical Centers 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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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
FORT WORTH, TX 76137
FORT WORTH, TX 76137
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184978389, enumerated as an "organization" on November 09, 2012.
The provider is located at 4060 SANDSHELL DR FORT WORTH, TX 76137 and the phone number is (817) 306-9777.
Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.
