Provider Demographics
NPI:1922440296
Name:DIAGNOSTIC HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:DIAGNOSTIC HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DILVIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-247-5227
Mailing Address - Street 1:1616 JUDSON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-3654
Mailing Address - Country:US
Mailing Address - Phone:903-247-5227
Mailing Address - Fax:903-247-5228
Practice Address - Street 1:615 N 3RD ST STE 4
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-6550
Practice Address - Country:US
Practice Address - Phone:903-247-5227
Practice Address - Fax:903-247-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory