Provider Demographics
NPI:1902099567
Name:PRO DIAGNOSTIC INC.
Entity Type:Organization
Organization Name:PRO DIAGNOSTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:HT
Authorized Official - Phone:713-723-6325
Mailing Address - Street 1:4111 GREENBRIAR DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3940
Mailing Address - Country:US
Mailing Address - Phone:713-723-6325
Mailing Address - Fax:
Practice Address - Street 1:4111 GREENBRIAR DR
Practice Address - Street 2:SUITE D
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3940
Practice Address - Country:US
Practice Address - Phone:713-723-6325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory