Pradus Diagnostic Solutions LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRADUS DIAGNOSTIC SOLUTIONS LLC

Practice address

2480D Bill Owens Pkwy
Longview, TX 75605-2150

Phone

(832) 562-9692

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Derick Watkins, MT

Title

Ceo

Phone

(832) 562-9692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1417677055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 BILL OWENS PKWY STE D",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052150",
            "telephone_number": "855-977-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480D BILL OWENS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052150",
            "telephone_number": "832-562-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADUS DIAGNOSTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "DERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-562-9692",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Pouns, MD
• Elizabeth Ann Powell, NP
• Mallory Powell, COTA
• Powers, Dobbs, & Menzina, Inc.
• Pradus Clinical DX LLC
• Anne Elizabeth Pratt, PA-C
• Precious Hand'S
• Precision Assistiants PLLC
• Precision Hearing Group Inc.
• Premier Pediatrics

• Clinical Medical Laboratory in Longview, TX
• Providers in Longview, 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 Jul 3, 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.