American Specialty Diagnostics Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

AMERICAN SPECIALTY DIAGNOSTICS INC

Practice address

1336 N Galloway Ave Ste 124
Mesquite, TX 75149-2490

Phone

(972) 656-1600

Fax

(972) 656-1700

NPI assigned

Jun 28, 2020

Last updated

Jun 28, 2020By 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

Miss Ellie A Ono

Title

Officer

Phone

(972) 656-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593302400000",
    "number": "1689291437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 N GALLOWAY AVE STE 124",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492490",
            "telephone_number": "972-656-1600",
            "fax_number": "972-656-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 N GALLOWAY AVE STE 124",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492490",
            "telephone_number": "972-656-1600",
            "fax_number": "972-656-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPECIALTY DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A",
        "authorized_official_last_name": "ONO",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-656-1600",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; 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.