Organization Active NPI

Pro Health Diagnostics LLC

  • Clinical Medical Laboratory
  • Carrollton, TX
National Provider Identifier
1386000693
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRO HEALTH DIAGNOSTICS LLC
Practice address
1925 E Belt Line Rd
Suite 512
Carrollton, TX 75006-5801
Phone
(214) 619-5632
Fax
(888) 548-2767
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
James Walker
Title
President
Phone
(214) 619-5632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1925 E Belt Line Rd
Suite 512
Carrollton, TX 75006-5801

Mailing address

1925 E Belt Line Rd
Suite 512
Carrollton, TX 75006-5801
Phone (214) 619-5632

National Provider Directory

National Provider Directory

Locations

1925 E Belt Line Rd
Ste 400
Carrollton, TX 75006
Phone (214) 619-5632

2695 Villa Creek Dr
#B255
Dallas, TX 75234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1386000693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD",
            "address_2": "SUITE 512",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065801",
            "telephone_number": "214-619-5632",
            "fax_number": "888-548-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD",
            "address_2": "SUITE 512",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065801",
            "telephone_number": "214-619-5632",
            "fax_number": "888-548-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-619-5632"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.