MEDICARE: JNJ CLINICAL DIAGNOSTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1770382632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JNJ CLINICAL DIAGNOSTICS LLC

Provider Business Mailing Address
First Line	:	3414 MIDCOURT RD STE 104
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-5092
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3414 MIDCOURT RD STE 104
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-5092
Country	:	US
Telephone Number	:	872-330-1655
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SALMAN MOHAMMED
Credential	:
Telephone Number	:	872-330-1655

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	06/17/2025

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