NPI age
17 years
Enumerated 2008-10-23
● Active Type 2 · Organization
Subpart
Genetic Diagnostics
Genetic Diagnostics 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
Fairbanks
Vice President
Last NPPES update
2011-02-25
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-10Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
6000 Harry Hines Blvd, Hamon Bldg, Room Na2 508a
Dallas, TX 753900001
Mailing address
Po Box 845347
Dallas, TX 752845347
Authorized official
Bruce Fairbanks
Vice President
📞 2146480309
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Julianna Hudnall Clinic/Center NPI 1407211667
- Prasad Koduru, PHD Technician, Pathology NPI 1508145830
- Kathleen Wilson, MD Pathology NPI 1184711582
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...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of University Of Texas Southwestern Medical Center At Dallas.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.