PROCARE LAKEWOOD ER LLC
NPI 1205669355
Clinic/Center - Emergency Care in Dallas, TX
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 45D2127038
- CLIA Cert. Type: Other - FSER
- CLIA Exp. Date: 07-25-2027
About PROCARE LAKEWOOD ER LLC
This page provides the complete NPI Profile along with additional information for Procare Lakewood Er Llc, a provider established in Dallas, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1205669355 assigned on August 2024. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Rick Harrison (Manager)
- NPI
- 1205669355 Verify this NPI
- Provider Name
- PROCARE LAKEWOOD ER LLC
- Entity Type
- Organization
- Location Address
- 6101 E MOCKINGBIRD LN DALLAS, TX 75214
- Location Phone
- (469) 372-1122
- Location Fax
- (469) 372-2138
- Mailing Address
- 2703 TELECOM PKWY STE 140A RICHARDSON, TX 75082
- Mailing Phone
- (469) 436-8100
- Mailing Fax
- (469) 436-8111
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-23-2024
- Last Update Date
- 02-05-2026
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- 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
- 45D2127038
- Facility Type
- Other - FSER
- Certificate Effective Date
- July 26, 2025
- Certificate Expiration Date
- July 25, 2027
- Laboratory Director
- DR. JACK BUTLER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Procare Lakewood Er Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for PROCARE LAKEWOOD ER LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
DALLAS, TX 75214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205669355, enumerated as an "organization" on August 23, 2024.
The provider is located at 6101 E MOCKINGBIRD LN DALLAS, TX 75214 and the phone number is (469) 372-1122.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
