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Kma Diagnostic Specialties

NPI 1104934165ActiveOrganization· Physiological Laboratory· Lewisville, TX

Physiological Laboratory in Lewisville, Texas, registered in NPPES in August 2006. The authorized official on file is Tara Campbell Mauney, Director.

Overview

NPI1104934165
StatusActive
Entity typeOrganization
NPI issuedAug 29, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physiological Laboratory Primary293D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physiological Laboratory providers in Lewisville

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