Provider Demographics
NPI:1972024818
Name:D.D.W. DRUG TESTING SERVICES INC
Entity Type:Organization
Organization Name:D.D.W. DRUG TESTING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:213-587-3482
Mailing Address - Street 1:214 LENOX AVE
Mailing Address - Street 2:STE 1 2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6336
Mailing Address - Country:US
Mailing Address - Phone:646-964-5285
Mailing Address - Fax:646-964-5157
Practice Address - Street 1:214 LENOX AVE STE 12ND
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6336
Practice Address - Country:US
Practice Address - Phone:646-964-5285
Practice Address - Fax:646-964-5157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health