Provider Demographics
NPI:1376019281
Name:SPHINX DIAGNOSTIC INC
Entity Type:Organization
Organization Name:SPHINX DIAGNOSTIC INC
Other - Org Name:SPHINX DIAGNOSTIC INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JONI
Authorized Official - Middle Name:D
Authorized Official - Last Name:DONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-993-8374
Mailing Address - Street 1:800 E CALIFORNIA ST UNIT NO6-7
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-4281
Mailing Address - Country:US
Mailing Address - Phone:940-580-3072
Mailing Address - Fax:940-580-3073
Practice Address - Street 1:800 E CALIFORNIA ST UNIT NO6-7
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-4281
Practice Address - Country:US
Practice Address - Phone:940-580-3072
Practice Address - Fax:678-660-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory