Provider Demographics
NPI:1518688993
Name:TOXICOLOGY X DIAGNOSTICS SCREENINGS
Entity Type:Organization
Organization Name:TOXICOLOGY X DIAGNOSTICS SCREENINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARNASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:803-609-6678
Mailing Address - Street 1:515 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-3186
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:515 MONROE ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-3186
Practice Address - Country:US
Practice Address - Phone:803-609-6678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Multi-Specialty