NPI age
16 years
Enumerated 2010-04-07
● Active Type 2 · Organization
Lakeridge Laboratory Inc
Lakeridge Laboratory Inc 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
Martin
President
Last NPPES update
2010-06-29
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
16 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
5130 82nd St
Lubbock, TX 794243024
Mailing address
1712 E Riverside Dr, Ste 232
Austin, TX 787411320
Authorized official
Juan E Martin, M.D.
President
📞 5129136512
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Ann Hughes Bass, M.D. Family Medicine NPI 1750736443
- Kaci McNutt, APRN Nurse Practitioner NPI 1891426839
- Jade Teal, PA Physician Assistant NPI 1831757764
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 (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
lakeridge laboratory
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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