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FOREST LANE PEDIATRICS
NPI 1225173107
Pediatrics in Dallas, TX

Active since February 20, 2007CLIA Certified · 3 labs
7777 FOREST LN STE B300, DALLAS, TX 75230(972) 284-7770(972) 284-7780 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forest Lane Pediatrics NPPES

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

FOREST LANE PEDIATRICS (NPI 1225173107) is a healthcare organization registered as a pediatrics in Dallas, Texas and active in the NPI registry since February 2007. The organization holds 3 active CLIA laboratory certificates and lists Shirley Grosvenor, Manager, as its authorized official.

NPPES Registry Identity

NPI1225173107
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFOREST LANE PEDIATRICS
Location Address7777 FOREST LN STE B300Dallas, TX 75230-2510
Mailing Address7777 Forest Ln Ste B300Dallas, TX 75230-2510 · (972) 284-7770 · Fax (972) 284-7780
Phone(972) 284-7770
Fax(972) 284-7780
Organization SubpartNo
Authorized OfficialShirley GrosvenorManager · (972) 284-7776
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMarch 29, 2017
✔ NPI 1225173107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
7777 FOREST LN STE B300, Dallas, TX 75230
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Other Identifiers 1

Other0070LMTX · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 45D2169669

Forest Lane Pediatrics · Dallas, TX
Active · expires Jul 23, 2027
CLIA Number45D2169669
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorRonald M. Blair
Laboratory Phone(972) 284-7770
Laboratory LocationForest Lane Pediatrics7777 Forest Ln Bldg B Suite 308, Dallas, TX 75230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0988499

Forest Lane Pediatrics · Dallas, TX
Active · expires Jun 27, 2027
CLIA Number45D0988499
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorRonald M. Blair
Laboratory Phone(972) 284-7770
Laboratory LocationForest Lane Pediatrics7777 Forest Lane Bldg B 300, Dallas, TX 75230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2163625

Forest Lane Pediatrics · Mesquite, TX
Active · expires Mar 18, 2027
CLIA Number45D2163625
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorRonald Blair
Laboratory Phone(972) 284-7770
Laboratory LocationForest Lane Pediatrics1600 Republic Pkwy Suite 120, Mesquite, TX 75150
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAMIEN HAKEEM MITCHELL M.D.
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770
ROY ADRIAN CLARKE M.D.
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770
RONALD M BLAIR M.D. P.A.
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770
CHRISTOPHER M. MCGONNELL M.D.
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770
MRS. JANIS M WILBERT IBCLC
Lactation Consultant, Non-RN
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (214) 549-9312
DR. ANN LIU MD
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770

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 Forest Lane Pediatrics's NPI number?

The NPI number for Forest Lane Pediatrics is 1225173107. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Forest Lane Pediatrics located?

Forest Lane Pediatrics is located at 7777 Forest Ln Ste B300, Dallas, TX 75230. The listed phone number is (972) 284-7770.

What is Forest Lane Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Forest Lane Pediatrics 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 Forest Lane Pediatrics was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.