OrganizationActive
Lakeridge Laboratory Inc
NPI 1972829513 · Clinical Medical Laboratory · Lubbock, TX
Provider details
- NPI number
- 1972829513
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Juan Martin, President(512) 913-6512
- License
- 45D0678293 (TX)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
5130 82nd St
Lubbock, TX 79424-3024
Phone: (512) 913-6512
Street-level locationGet directions
Mailing address
1712 E Riverside Dr
Austin, TX 78741-1320
Other names (DBA / former)
- Doing business as
- Lakeridge Laboratory
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2010-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.