OrganizationActive
Gulfstream Genomics LLC
NPI 1811341217 · Clinical Medical Laboratory · Dallas, TX
Provider details
- NPI number
- 1811341217
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Dean Viskovich, Vice President of Legal(972) 630-6443
- License
- 45D2096977 (TX)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
9301 N Central Expy
Ste 335
Dallas, TX 75231-0806
Phone: (972) 640-6400
Street-level locationGet directions
Mailing address
9301 N Central Expy
Dallas, TX 75231-0806
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2017-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.