Provider Demographics
NPI:1659639680
Name:WESTWIND DIAGNOSTICS
Entity Type:Organization
Organization Name:WESTWIND DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-469-8991
Mailing Address - Street 1:9211 WEST RD
Mailing Address - Street 2:STE 143-153
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-8633
Mailing Address - Country:US
Mailing Address - Phone:281-469-8991
Mailing Address - Fax:832-218-1120
Practice Address - Street 1:9211 WEST RD
Practice Address - Street 2:STE 143-153
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-8633
Practice Address - Country:US
Practice Address - Phone:281-469-8991
Practice Address - Fax:832-218-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty