Provider Demographics
NPI:1952482531
Name:NATIONAL DIAGNOSTICS INC
Entity Type:Organization
Organization Name:NATIONAL DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KANEEZ
Authorized Official - Middle Name:KAUSAR
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-667-0431
Mailing Address - Street 1:763 S NEW BALLAS RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8704
Mailing Address - Country:US
Mailing Address - Phone:636-667-0431
Mailing Address - Fax:636-412-1010
Practice Address - Street 1:763 S NEW BALLAS RD
Practice Address - Street 2:SUITE 260
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8704
Practice Address - Country:US
Practice Address - Phone:636-667-0431
Practice Address - Fax:636-412-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory