OrganizationActive
Genetic Diagnostics
NPI 1962655811 · Clinical Medical Laboratory · Dallas, TX
Provider details
- NPI number
- 1962655811
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- University of Texas Southwestern Medical Center at Dallas
- Organization subpart
- Yes
- Authorized official
- Bruce Fairbanks, Vice President(214) 648-0309
- License
- 45D1089001 (TX)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
6000 Harry Hines Blvd
Hamon Bldg, Room Na2 508a
Dallas, TX 75390-0001
Phone: (214) 645-0624
Street-level locationGet directions
Mailing address
Po Box 845347
Dallas, TX 75284-5347
Registry dates
- Enumerated
- 2008-10-23
- Last updated
- 2011-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.