Stat Diagnostic Lab LLC
Stat Diagnostic Lab LLC is a healthcare organization registered as Clinical Medical Laboratory in Desoto, TX, holding Type 2 (organization) NPI 1902931207 since 2007. The authorized official on file is Delia Booker, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902931207 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Stat Diagnostic Lab LLC |
| Practice address | 509 N HAMPTON RD, SUITE 204, Desoto, TX, 75115 |
| Phone | 9722302323 |
| Fax | 9722302324 |
| Enumeration date | 2007-02-23 |
| Last updated in NPPES | 2008-06-05 |
Authorized official
| Name | Delia Booker |
|---|---|
| Title | President |
| Phone | 2144344032 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20449 | Other | MD | CLIA |
| 45D1064567 | Other | TX | CLIA |
Copy-ready billing details
Provider: Stat Diagnostic Lab LLC NPI: 1902931207 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 509 N HAMPTON RD, SUITE 204, Desoto, TX, 75115
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871510503 | Tree of Life Home Health Care, LLC | Organization | Home Health Agency | Desoto, TX |
| 1174913842 | MD Now | Organization | Clinic/Center | Desoto, TX |
| 1376921270 | Ayodele Fadahunsi | Individual | Chiropractor | Desoto, TX |
| 1932565462 | Danika Mamon | Individual | Chiropractor | Desoto, TX |
Verify this record
Cross-check NPI 1902931207 against the authoritative CMS record: view Stat Diagnostic Lab LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Stat Diagnostic Lab LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-05.