Provider Demographics
NPI:1063859973
Name:AFFORDABLE DIAGNOSTICS
Entity Type:Organization
Organization Name:AFFORDABLE DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-358-3800
Mailing Address - Street 1:9802 FM 1960 BYPASS RD W
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3501
Mailing Address - Country:US
Mailing Address - Phone:281-259-2500
Mailing Address - Fax:281-358-0924
Practice Address - Street 1:9802 FM 1960 BYPASS RD W
Practice Address - Street 2:SUITE 100
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3501
Practice Address - Country:US
Practice Address - Phone:281-259-2500
Practice Address - Fax:281-358-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory