Provider Demographics
NPI:1629751425
Name:DOLPHIN DIAGNOSTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:DOLPHIN DIAGNOSTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-371-8247
Mailing Address - Street 1:3475 W ALTON GLOOR BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-4475
Mailing Address - Country:US
Mailing Address - Phone:956-350-2143
Mailing Address - Fax:956-350-3744
Practice Address - Street 1:3475 W ALTON GLOOR BLVD STE D
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-4475
Practice Address - Country:US
Practice Address - Phone:956-350-2143
Practice Address - Fax:956-350-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory