Delta Diagnostic Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DELTA DIAGNOSTIC LAB INC

Practice address

3480 Fannin St
Suite L
Beaumont, TX 77701-3814

Phone

(409) 832-1616

Fax

(409) 832-5747

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Vahid Afshar

Title

Lab Director

Phone

(409) 832-1616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871577007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST",
            "address_2": "SUITE L",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013814",
            "telephone_number": "409-832-1616",
            "fax_number": "409-832-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST",
            "address_2": "SUITE L",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013814",
            "telephone_number": "409-832-1616",
            "fax_number": "409-832-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DIAGNOSTIC LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AFSHAR",
        "authorized_official_first_name": "VAHID",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "409-832-1616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose A Del Toro
• Deirdre Delcambre-Thigpen, MS SLP
• Louis Delena, RDT
• Mary Delino, O.D.
• James Thomas Dellis, D.O.
• Kimberly Deluna, LCDC
• Ashley Danielle Demarco, D.D.S.
• Katherine Demeritt, P.A.
• Jeffery Blair Demuth, L.P.C.
• Shannon Denard, CHW, B.N.D.

• Clinical Medical Laboratory in Beaumont, TX
• Providers in Beaumont, 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 Aug 22, 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.