Provider Demographics
NPI:1568059368
Name:ABSOLUTE DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:ABSOLUTE DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDGREN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:316-440-4449
Mailing Address - Street 1:3460 N RIDGE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1222
Mailing Address - Country:US
Mailing Address - Phone:316-440-4449
Mailing Address - Fax:316-440-4439
Practice Address - Street 1:3460 N RIDGE RD STE 130
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1222
Practice Address - Country:US
Practice Address - Phone:316-440-4449
Practice Address - Fax:316-440-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory