NPI age
3 years
Enumerated 2023-01-12
● Active Type 2 · Organization
Forma Medical Group Llc
Forma Medical Group Llc is 1 of 2082 clinical medical laboratory organizations in Texas.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tilak
Owner
Last NPPES update
2025-03-06
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
3 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
570 Edmonds Lane, Suite - 104 / 106b
Lewisville, TX 750673542
Mailing address
570 Edmonds Lane, Suite - 104 / 106b
Lewisville, TX 750673542
Authorized official
Anup Tilak
Owner
📞 3195944108
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dallas Diagnostic Center
-
Dallas Diagnostic Center
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.