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Privy Diagnostics Labs, Llc
Point of Service in Mesquite, Texas
NPI 1801542824

Privy Diagnostics Labs, Llc is a Point of Service based in Southlake, TX. Privy Diagnostics Labs, Llc practices in Mesquite, TX. The NPI Number for Privy Diagnostics Labs, Llc is 1801542824 and holds a License No. (Texas).

The current practice location address for Privy Diagnostics Labs, Llc is 3224 Gus Thomasson Rd Ste B, Mesquite, TX and can be reached out via phone at 833-667-7924 and via fax at 817-755-0945.

Location: 3224 Gus Thomasson Rd Ste B, Mesquite, TX, 76092-4707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801542824
Provider Name
Privy Diagnostics Labs, Llc
Credential
Provider Entity Type
Organization
Address
3224 Gus Thomasson Rd Ste B, Mesquite, TX, 76092-4707
Phone Number
833-667-7924
Fax Number
817-755-0945
Provider Enumeration Date
02/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114264199 01 TX INDIVIDUAL NPI
336552 05 TX
institution
Provider Business Practice Location Address Details
Address
3224 Gus Thomasson Rd Ste B
City
Mesquite
State
Texas
Zip
75150-4004
Phone Number
833-667-7924
Fax Number
817-755-0945
person
Provider Business Mailing Address Details
Address
3224 Gus Thomasson Rd Ste B
City
Mesquite
State
Texas
Zip
75150-4004
Phone Number
833-667-7924
Fax Number
817-755-0945
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
()
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 8
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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