Privy Diagnostics Labs, LLC

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

PRIVY DIAGNOSTICS LABS, LLC

Practice address

3224 Gus Thomasson Rd Ste B
Mesquite, TX 75150-4004

Phone

(833) 667-7924

Fax

(817) 755-0945

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Taaka Cash, DNP, PMHMP-BC

Title

Ceo

Phone

(833) 667-7924

Specialties & licenses 8

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1801542824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N KIMBALL AVE STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924707",
            "telephone_number": "833-667-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 GUS THOMASSON RD STE B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504004",
            "telephone_number": "833-667-7924",
            "fax_number": "817-755-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 N Kimball Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760924707",
            "country_code": "US",
            "telephone_number": "833-667-7924",
            "fax_number": "817-755-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIVY DIAGNOSTICS LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "TAAKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-667-7924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHMP-BC"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114264199",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336552",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Preston, LPC
• Prileo Home Care TX LLC (Prileo Home Care)
• Prime Group Medical Clinic LLC (Prime Group Medical Clinic)
• Prime Healthcare Services Mesquite LLC (Dallas Regional Outpatient Pharmacy)
• Prime Healthcare Services Mesquite LLC
• Procare Specialty Medicine, LLC
• Prodigious Industries LLC (Kearney Park Pharmacy)
• Prodigious Industries LLC (Kearney Park Pharmacy)
• Progreesive Touch Health Services Inc
• Promise Healthcare Services LLC

• Clinical Laboratory Director (Non-physician) in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Clinical Laboratory Director (Non-physician) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.