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

Summit Clinical Laboratory, LLC

Organization Clinical Medical Laboratory · NPI 1902425440

Summit Clinical Laboratory, LLC is a Clinical Medical Laboratory in Dallas, Texas. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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

17742 Preston Rd # 205
Dallas, TX 75252-6199
Phone: (214) 687-2392
Fax: (214) 602-7003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 Glen Echo Rd Ste 105, Nashville, TN 37215-2857 — (214) 687-2392

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1902425440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oscar Dereva — Director · (214) 687-2392
NPI enumeratedApril 14, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020
Mailing address2845 Cascade Cove Dr, Little Elm, TX 75068-7607

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