Provider Demographics
NPI:1265073142
Name:NTOS LLC
Entity type:Organization
Organization Name:NTOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VUDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SLABISAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-567-6595
Mailing Address - Street 1:4090 MAPLESHADE LN STE 130
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-0024
Mailing Address - Country:US
Mailing Address - Phone:214-592-9955
Mailing Address - Fax:214-592-9935
Practice Address - Street 1:4090 MAPLESHADE LN STE 130
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0024
Practice Address - Country:US
Practice Address - Phone:214-592-9955
Practice Address - Fax:214-592-9935
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NTOS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory