Provider Demographics
NPI:1114793577
Name:ADMIRABLE HEARTS SCREENINGS LLC
Entity Type:Organization
Organization Name:ADMIRABLE HEARTS SCREENINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICIA
Authorized Official - Middle Name:SHANTE
Authorized Official - Last Name:KINDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-998-3002
Mailing Address - Street 1:3010 LBJ FWY FL 1200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2710
Mailing Address - Country:US
Mailing Address - Phone:769-244-7658
Mailing Address - Fax:
Practice Address - Street 1:3010 LBJ FWY FL 1200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-2710
Practice Address - Country:US
Practice Address - Phone:769-244-7658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory