Provider Demographics
NPI:1568237998
Name:SUREQUEST DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:SUREQUEST DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:USHAKIRAN REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-280-1236
Mailing Address - Street 1:9494 SOUTHWEST FWY STE 360
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1425
Mailing Address - Country:US
Mailing Address - Phone:713-900-1770
Mailing Address - Fax:713-900-1810
Practice Address - Street 1:9494 SOUTHWEST FWY STE 360
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1425
Practice Address - Country:US
Practice Address - Phone:713-900-1770
Practice Address - Fax:713-900-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory