Provider Demographics
NPI:1518549195
Name:DOT MEDICAL AND DRUG TESTING SERVICES, INC.
Entity Type:Organization
Organization Name:DOT MEDICAL AND DRUG TESTING SERVICES, INC.
Other - Org Name:DOTMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TAUSSIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-591-5931
Mailing Address - Street 1:3435 ROY ORR BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-4229
Mailing Address - Country:US
Mailing Address - Phone:972-591-5931
Mailing Address - Fax:214-238-8091
Practice Address - Street 1:3435 ROY ORR BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-4229
Practice Address - Country:US
Practice Address - Phone:972-591-5931
Practice Address - Fax:214-238-8091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Multi-Specialty
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty