COOPER STREET MEDICAL CLINIC
NPI 1578618492
Family Medicine in Mansfield, TX
About Cooper Street Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COOPER STREET MEDICAL CLINIC (NPI 1578618492) is a healthcare organization registered as a family medicine in Mansfield, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Doyle F Gallman, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Other Names 1
Group Practice 1
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
- 45D1025217
- Facility Type
- Physician Office
- Certificate Effective Date
- May 03, 2026
- Certificate Expiration Date
- May 02, 2028
- Laboratory Director
- BINDAL SAPAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cooper Street Medical Clinic 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578618492, enumerated as an "organization" on January 23, 2007.
The provider is located at 2360 FM 157 N MANSFIELD, TX 76063 and the phone number is (817) 453-2123.
Family Medicine with taxonomy code 207Q00000X.
