KINGDOM HEALTH LABORATORY LLC
NPI 1689264053
Clinical Medical Laboratory in Dallas, TX

Active since January 20, 2021
4887 ALPHA RD STE 205, DALLAS, TX 75244(469) 995-7851(469) 995-7851 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kingdom Health Laboratory Llc NPPES

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

KINGDOM HEALTH LABORATORY LLC (NPI 1689264053) is a healthcare organization registered as a clinical medical laboratory in Dallas, Texas and active in the NPI registry since January 2021. The organization lists Keith J Gray, Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1689264053
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameKINGDOM HEALTH LABORATORY LLC
Location Address4887 ALPHA RD STE 205Dallas, TX 75244-4632
Mailing Address4887 Alpha Rd Ste 205Dallas, TX 75244-4632 · (469) 995-7851 · Fax (469) 995-7851
Fax(469) 995-7851
Organization SubpartNo
Authorized OfficialKeith J GrayAuthorized Offical · (469) 995-7795
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
NPI 1689264053 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.
4887 ALPHA RD STE 205, Dallas, TX 75244

Other Providers at the Same Location NPPES

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

Physiological Laboratory
4887 ALPHA RD STE 205
FARMERS BRANCH, TX 75244

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 Kingdom Health Laboratory LLC's NPI number?

The NPI number for Kingdom Health Laboratory LLC is 1689264053. It was assigned to this organization in the NPPES registry on January 20, 2021.

Where is Kingdom Health Laboratory LLC located?

Kingdom Health Laboratory LLC is located at 4887 Alpha Rd Ste 205, Dallas, TX 75244. The listed phone number is (469) 995-7851.

What is Kingdom Health Laboratory 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 Kingdom Health Laboratory LLC was last updated on January 20, 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.