Provider Demographics
NPI:1780224659
Name:DXTERITY DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:DXTERITY DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTS COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:DAMARIS
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-205-7084
Mailing Address - Street 1:19500 S RANCHO WAY STE 116
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-6017
Mailing Address - Country:US
Mailing Address - Phone:310-537-7857
Mailing Address - Fax:310-356-3154
Practice Address - Street 1:19500 S RANCHO WAY STE 116
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-6017
Practice Address - Country:US
Practice Address - Phone:310-537-7857
Practice Address - Fax:310-356-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory