Provider Demographics
NPI:1518696228
Name:D. R. TESTING , INC.
Entity Type:Organization
Organization Name:D. R. TESTING , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:MANSELL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-702-4844
Mailing Address - Street 1:300 W SUNRISE BLVD
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-6263
Mailing Address - Country:US
Mailing Address - Phone:954-440-4776
Mailing Address - Fax:
Practice Address - Street 1:300 W SUNRISE BLVD
Practice Address - Street 2:SUITE 9A
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-6263
Practice Address - Country:US
Practice Address - Phone:954-440-4776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty