| Privy Diagnostics Labs, LLC | |
|
3224 Gus Thomasson Rd Ste B Mesquite TX 75150-4004 | |
| (833) 667-7924 | |
| (817) 755-0945 |
| Full Name | Privy Diagnostics Labs, LLC |
|---|---|
| Speciality | Technician, Pathology - Clinical Laboratory Director, Non-physician |
| Location | 3224 Gus Thomasson Rd Ste B, Mesquite, Texas |
| Authorized Official Name and Position | Taaka Cash (CEO) |
| Authorized Official Contact | 8336677924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Privy Diagnostics Labs, LLC 1230 N Kimball Ave Ste 130 Southlake TX 76092-4707 Ph: (833) 667-7924 | Privy Diagnostics Labs, LLC 3224 Gus Thomasson Rd Ste B Mesquite TX 75150-4004 Ph: (833) 667-7924 |
| NPI Number | 1801542824 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801542824 | NPI | - | NPPES |
| 1114264199 | Other | TX | INDIVIDUAL NPI |
| 336552 | Medicaid | TX |
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