Pro Health Diagnostics, LLC

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

(972) 339-8919

Fax

(888) 548-2767

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

Jimmy Walker

Title

Owner

Phone

(972) 339-8919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1861865511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 POND CYPRESS LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350072",
            "telephone_number": "972-339-8919",
            "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": "972-339-8919",
            "fax_number": "888-548-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-339-8919"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Carrollton, TX
• Providers in Carrollton, 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 Nov 3, 2015; 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.