Provider Demographics
NPI:1588010045
Name:HMP DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:HMP DIAGNOSTICS, INC.
Other - Org Name:PROTECS LABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKHILL
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:678-313-7004
Mailing Address - Street 1:3125 ARROWCREST PL
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-3805
Mailing Address - Country:US
Mailing Address - Phone:678-727-2009
Mailing Address - Fax:
Practice Address - Street 1:3125 ARROWCREST PL
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-3805
Practice Address - Country:US
Practice Address - Phone:678-727-2009
Practice Address - Fax:866-314-6722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2019-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA47BBBNROtherPART B