Provider Demographics
NPI:1255087672
Name:IFS DRUG TESTING FACILITY LLC
Entity type:Organization
Organization Name:IFS DRUG TESTING FACILITY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARQUETTE
Authorized Official - Middle Name:SHANTEE
Authorized Official - Last Name:THOMASRUFUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-748-2301
Mailing Address - Street 1:216 MELODY WAY
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8899
Mailing Address - Country:US
Mailing Address - Phone:469-747-3155
Mailing Address - Fax:800-517-4729
Practice Address - Street 1:1301 E PARKERVILLE RD STE A8
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-6420
Practice Address - Country:US
Practice Address - Phone:469-747-3155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal
No305R00000XManaged Care OrganizationsPreferred Provider Organization