Organization Active NPI

Associated Clinicians of East Texas

Doing business as Diagnostic Clinic of Longview

  • Community/Retail Pharmacy
  • Longview, TX
National Provider Identifier
1447451406
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ASSOCIATED CLINICIANS OF EAST TEXAS
Doing business as
Diagnostic Clinic of Longview
Practice address
709 Hollybrook Dr
Suite 4500
Longview, TX 75605-2411
Phone
(903) 291-6030
Fax
(903) 291-6080
NPI assigned
May 29, 2007
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Mrs. Melanie M Perkins
Title
Credentialing Office Coordinator
Phone
(903) 232-8501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 21518 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

709 Hollybrook Dr
Suite 4500
Longview, TX 75605-2411

Mailing address

709 Hollybrook Dr
Suite 4500
Longview, TX 75605-2411
Phone (903) 757-6042

Other names 1

  • DIAGNOSTIC CLINIC OF LONGVIEW Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1036586Diagnostic Clinic of Longview709 Hollybrook Drive, Longview, TX 75605Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory

Locations

602 Titus St
Ste 100
Gilmer, TX 75644
Phone (903) 843-3071

8820 N MacArthur Blvd
#101
Irving, TX 75063

2901 4th St
#15000
Longview, TX 75605

701 E Marshall Ave
Ste 309
Longview, TX 75601
Phone (903) 236-2744

707 Hollybrook Dr
Bldg 1
Longview, TX 75605

707 Hollybrook Dr
Ste 401
Longview, TX 75605

707 Hollybrook Dr
Ste 406
Longview, TX 75605
Phone (903) 236-2736

709 Hollybrook Dr
Longview, TX 75605
Phone (903) 757-4691

709 Hollybrook Dr
Ste 4500
Longview, TX 75605
Phone (903) 757-6042

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1447451406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 4500",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-757-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 4500",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-291-6030",
            "fax_number": "903-291-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CLINICIANS OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING OFFICE COORDINATOR",
        "authorized_official_telephone_number": "903-232-8501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "TX",
            "license": "21518",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAGNOSTIC CLINIC OF LONGVIEW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.