Healthcare Provider Details

I. General information

NPI: 1770382632
Provider Name (Legal Business Name): JNJ CLINICAL DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3414 MIDCOURT RD STE 104
CARROLLTON TX
75006-5092
US

IV. Provider business mailing address

3414 MIDCOURT RD STE 104
CARROLLTON TX
75006-5092
US

V. Phone/Fax

Practice location:
  • Phone: 872-330-1655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SALMAN MOHAMMED
Title or Position: OWNER
Credential:
Phone: 872-330-1655