Provider Demographics
NPI:1275271926
Name:ACCESS CARE DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:ACCESS CARE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MADOM
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-677-7967
Mailing Address - Street 1:12803 SWAN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-1654
Mailing Address - Country:US
Mailing Address - Phone:469-771-6098
Mailing Address - Fax:
Practice Address - Street 1:2600 K AVE STE 259
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5395
Practice Address - Country:US
Practice Address - Phone:800-677-7967
Practice Address - Fax:800-677-7967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center