Stat Diagnostic Lab Llc

LBN: Stat Diagnostic Lab Llc
Stat Diagnostic Lab Llc is an health care organization with primary practice located at 509 N Hampton Rd Suite 204, Desoto TX 75115-4970. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Stat Diagnostic Lab Llc can be contacted via phone (972) 230-2323, or through Booker, Delia Delores via phone (214) 434-4032.

Contact Information

Primary practice address
509 N Hampton Rd Suite 204 Desoto TX 75115-4970
Fax: (972) 230-2324
Website:
Authorized official contact:
Name: Booker, Delia Delores

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1902931207
LBN Legal business name Stat Diagnostic Lab Llc
DBA Doing business as
Authorized official Booker, Delia Delores
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Jun 5th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902931207 NPPES
Maryland Other 20449 CLIA
Maryland Other 45D1064567 CLIA

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