Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prodigy Toxicology LLC

Organization Clinical Medical Laboratory · NPI 1881097509

Prodigy Toxicology LLC is a Clinical Medical Laboratory in Flower Mound, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3861 Long Prairie Rd Ste 109
Flower Mound, TX 75028-1799
Phone: (214) 513-8700
Fax: (214) 513-8730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 45D2084574 (TX)

Record details

NPI number1881097509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Sivaraman — Billing Manager · (214) 618-5600
NPI enumeratedOctober 8, 2014
Last updated in NPPESOctober 21, 2014
Mailing address5566 Main St Ste 210, Frisco, TX 75033-3673

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