Provider Demographics
NPI:1619376316
Name:TRUE HEALTH DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:TRUE HEALTH DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:GROTTENTHALER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-987-1390
Mailing Address - Street 1:3803 PARKWOOD BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8643
Mailing Address - Country:US
Mailing Address - Phone:972-987-1390
Mailing Address - Fax:
Practice Address - Street 1:3803 PARKWOOD BLVD STE 400
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8643
Practice Address - Country:US
Practice Address - Phone:972-987-1390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2082195291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory