OrganizationActive
Charlotte Vdovychenko
NPI 1992982151 · Clinical Medical Laboratory · Dallas, TX
Provider details
- NPI number
- 1992982151
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Charlotte Vdovychenko, Director(817) 915-1800
- License
- 45D1073121 (TX)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
703 Mckinney Ave
Dallas, TX 75202-1007
Phone: (817) 915-1800
Fax: (682) 503-6649
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 59
Euless, TX 76039-0059
Other names (DBA / former)
- Doing business as
- Central Laboratory Services
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2008-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.