Diagnostic Affiliates of Northeast Hou LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DIAGNOSTIC AFFILIATES OF NORTHEAST HOU LLC

Practice address

22001 Northpark Dr Ste 221
Kingwood, TX 77339-3804

Phone

(281) 319-8378

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Ivan Tarasenko

Title

Coo

Phone

(281) 319-8378

Specialties & licenses 1

Addresses

Other names 1

• 24 Hour Covid Doing business as

Locations

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1154930279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR STE 210",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396021",
            "telephone_number": "281-908-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 NORTHPARK DR STE 221",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393804",
            "telephone_number": "281-319-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC AFFILIATES OF NORTHEAST HOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "TARASENKO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "281-319-8378"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "24 Hour Covid",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "24 Hour Covid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Destiny Global Assist, LLC
• Jacqueline Dewvall, RBT
• Galvin Singh Dhaliwal, MD
• Rasika Dhekne, M.D.
• Tulasi Dhulipalla
• Arianna Diaz Alvarez
• Reyna Diaz, RN IBCLC
• Veronica Diaz, MA, BCBA
• Kathryn L. Dickinson Gray, LPC, LMFT-A
• Christopher Dilger

• Clinical Medical Laboratory in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.