Provider Demographics
NPI:1508070756
Name:DIAMOND STAFFING SOLUTIONS LLC
Entity Type:Organization
Organization Name:DIAMOND STAFFING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCLAND
Authorized Official - Middle Name:LESLEY
Authorized Official - Last Name:LUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-740-7784
Mailing Address - Street 1:226 NE 14TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-1206
Mailing Address - Country:US
Mailing Address - Phone:405-740-7784
Mailing Address - Fax:405-319-9374
Practice Address - Street 1:702 NE 37TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-7210
Practice Address - Country:US
Practice Address - Phone:405-525-3024
Practice Address - Fax:405-525-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT2179225100000X
OKPT2146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty