LEGACY MEDICAL LAB SERVICES, LLC
NPI 1902111610
Clinical Medical Laboratory in Hewitt, TX

Active since August 18, 2010
688 ALLIANCE PKWY, SUITE #200, HEWITT, TX 76643(254) 420-4522(254) 420-1144 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Medical Lab Services, Llc NPPES

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

LEGACY MEDICAL LAB SERVICES, LLC (NPI 1902111610) is a healthcare organization registered as a clinical medical laboratory in Hewitt, Texas and active in the NPI registry since August 2010. The organization lists Lisa Kay Rahimi, Vice President, as its authorized official.

NPPES Registry Identity

NPI1902111610
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLEGACY MEDICAL LAB SERVICES, LLC
Location Address688 ALLIANCE PKWY, SUITE #200Hewitt, TX 76643-3585
Mailing AddressPo Box 8Hewitt, TX 76643-0008 · (254) 420-4522 · Fax (254) 420-1144
Fax(254) 420-1144
Organization SubpartNo
Authorized OfficialLisa Kay RahimiVice President · (254) 732-3658
Enumeration DateAugust 18, 2010
Last NPPES UpdateApril 4, 2011
NPI 1902111610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in TX · 45D2010680
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.
688 ALLIANCE PKWY, Hewitt, TX 76643

Other Identifiers 5

Other22110TX · Cola Number
Medicare PINCL1146TX
Other45D2010680TX · Clia Id Number
Medicaid217525902TX
Medicaid217525901TX

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
688 ALLIANCE PKWY, SUITE 201
HEWITT, TX 76643

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 Legacy Medical Lab Services, LLC's NPI number?

The NPI number for Legacy Medical Lab Services, LLC is 1902111610. It was assigned to this organization in the NPPES registry on August 18, 2010.

Where is Legacy Medical Lab Services, LLC located?

Legacy Medical Lab Services, LLC is located at 688 Alliance Pkwy Suite #200, Hewitt, TX 76643. The listed phone number is (254) 420-4522.

What is Legacy Medical Lab Services, 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 Legacy Medical Lab Services, LLC was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.