OrganizationActive
Southlake Diagnostics Inc
NPI 1053723171 · Clinical Medical Laboratory · Southlake, TX
Provider details
- NPI number
- 1053723171
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Don Stables, Ceo(617) 538-1748
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
580 Commerce St
Suite 150
Southlake, TX 76092-9155
Phone: (817) 421-7414
Street-level locationGet directions
Mailing address
580 Commerce St Ste 150b
Southlake, TX 76092-9214
Registry dates
- Enumerated
- 2014-05-23
- Last updated
- 2021-07-22
- Certified
- 2021-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.