OrganizationActive
Legacy Diagnostic Lab LLC
NPI 1114539046 · Clinical Medical Laboratory · Richardson, TX
Legacy Diagnostic Lab LLC is a Clinical Medical Laboratory organization in Richardson, TX (NPI 1114539046).
Provider details
- NPI number
- 1114539046
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Othman Albdour, Owner(678) 755-9468
Specialties & taxonomies
Laboratories
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1651 N Collins Blvd # 135
Richardson, TX 75080-3658
Phone: (469) 872-0008
Street-level locationGet directions
Mailing address
1651 N Collins Blvd # 135
Richardson, TX 75080-3658
Registry dates
- Enumerated
- 2020-08-21
- Last updated
- 2021-04-12
- Certified
- 2021-04-12
Frequently asked questions
- What is Legacy Diagnostic Lab LLC's NPI number?
- Legacy Diagnostic Lab LLC's National Provider Identifier (NPI) is 1114539046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Diagnostic Lab LLC?
- Legacy Diagnostic Lab LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Legacy Diagnostic Lab LLC located?
- Legacy Diagnostic Lab LLC's practice location on file with NPPES is 1651 N Collins Blvd # 135, Richardson, TX 75080-3658.
- What is Legacy Diagnostic Lab LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Diagnostic Lab LLC is (469) 872-0008.
- Who is the authorized official for Legacy Diagnostic Lab LLC?
- The authorized official listed on Legacy Diagnostic Lab LLC's NPPES record is Othman Albdour, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Diagnostic Lab LLC's NPI active?
- Yes — Legacy Diagnostic Lab LLC's NPI (1114539046) is active in the NPPES registry as of the last update on 2021-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.