Provider Demographics
NPI:1407882012
Name:J & M DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:J & M DIAGNOSTICS, LLC
Other - Org Name:COMPREHENSIVE SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:MARTHA
Authorized Official - Last Name:TITUS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:214-390-5655
Mailing Address - Street 1:17080 DALLAS PKWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1921
Mailing Address - Country:US
Mailing Address - Phone:214-390-5655
Mailing Address - Fax:214-279-0528
Practice Address - Street 1:17080 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1921
Practice Address - Country:US
Practice Address - Phone:214-390-5655
Practice Address - Fax:214-279-0528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
TX0090382332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies