BACK TO EDEN COMMUNITY CLINIC LLC
NPI 1912584616
Clinical Medical Laboratory in Coppell, TX

Active since March 27, 2021
720 DAVINCI CT, COPPELL, TX 75019(708) 224-7163 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2021, Mar 27, 2021 (2 updates tracked since 2021).

About Back To Eden Community Clinic Llc NPPES

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

BACK TO EDEN COMMUNITY CLINIC LLC (NPI 1912584616), doing business as Back To Eden, is a healthcare organization registered as a clinical medical laboratory in Coppell, Texas and active in the NPI registry since March 2021. The organization lists Tunyesse M Murphy, Owner, as its authorized official.

NPPES Registry Identity

NPI1912584616
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameBACK TO EDEN COMMUNITY CLINIC LLC
Location Address720 DAVINCI CTCoppell, TX 75019-2205
Mailing Address720 Davinci CtCoppell, TX 75019-2205 · (708) 224-7163
Organization SubpartYesParent: Back To Eden
Authorized OfficialTunyesse M MurphyOwner · (708) 224-7163
Enumeration DateMarch 27, 2021
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
NPI 1912584616 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.
720 DAVINCI CT, Coppell, TX 75019

Other Names 1

Former Legal Business NameBack To Eden

Other Providers at the Same Location NPPES 2

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

Transportation Broker
720 DAVINCI CT
COPPELL, TX 75019
Custodial Care Facility (Adult Care Home)
720 DAVINCI CT
COPPELL, TX 75019

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 Back To Eden Community Clinic LLC's NPI number?

The NPI number for Back To Eden Community Clinic LLC is 1912584616. It was assigned to this organization in the NPPES registry on March 27, 2021. The provider was formerly known as Back to eden.

Where is Back To Eden Community Clinic LLC located?

Back To Eden Community Clinic LLC is located at 720 Davinci Ct, Coppell, TX 75019. The listed phone number is (708) 224-7163.

What is Back To Eden Community Clinic 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 Back To Eden Community Clinic LLC was last updated on May 11, 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.