Provider Demographics
NPI:1750034013
Name:PRIME DIAGNOSTIC SERVICES LLC
Entity Type:Organization
Organization Name:PRIME DIAGNOSTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-766-4025
Mailing Address - Street 1:2020 N MASTERS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-3168
Mailing Address - Country:US
Mailing Address - Phone:972-285-2600
Mailing Address - Fax:972-285-2605
Practice Address - Street 1:2020 N MASTERS DR STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-3168
Practice Address - Country:US
Practice Address - Phone:972-285-2600
Practice Address - Fax:972-285-2605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory