Provider Demographics
NPI:1770230120
Name:TRUSTY DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:TRUSTY DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAFIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-222-1040
Mailing Address - Street 1:1428 MAC ARTHUR DR STE 121
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-4437
Mailing Address - Country:US
Mailing Address - Phone:214-227-2332
Mailing Address - Fax:
Practice Address - Street 1:1428 MAC ARTHUR DR STE 121
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-4437
Practice Address - Country:US
Practice Address - Phone:214-227-2332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-06
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory