J 3 Diagnostics LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

8906 Issued in TX

Legal business name

J 3 DIAGNOSTICS LLC

Practice address

2133 S Great Southwest Pkwy Ste 506
Grand Prairie, TX 75051-3546

Phone

(469) 733-1735

Fax

(469) 733-1737

NPI assigned

Oct 10, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jorge Rene Sanchez

Title

President/Owner

Phone

(817) 296-4297

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1144472978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 S GREAT SOUTHWEST PKWY STE 506",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513546",
            "telephone_number": "469-733-1735",
            "fax_number": "469-733-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 S GREAT SOUTHWEST PKWY STE 506",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513546",
            "telephone_number": "469-733-1735",
            "fax_number": "469-733-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J 3 DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "817-296-4297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "8906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.