Provider Demographics
NPI:1528643434
Name:M.E. DIAGNOSTICS
Entity type:Organization
Organization Name:M.E. DIAGNOSTICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-365-3189
Mailing Address - Street 1:8105 RASOR BLVD STE 286
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0122
Mailing Address - Country:US
Mailing Address - Phone:940-536-3189
Mailing Address - Fax:
Practice Address - Street 1:8105 RASOR BLVD STE 286
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0122
Practice Address - Country:US
Practice Address - Phone:903-267-3048
Practice Address - Fax:949-561-4745
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHAEL EDWARDS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-11
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory