Provider Demographics
NPI:1265625511
Name:LONE STAR DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:LONE STAR DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FERAGOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-727-8341
Mailing Address - Street 1:6217 CHAPEL HILL BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8477
Mailing Address - Country:US
Mailing Address - Phone:214-727-8341
Mailing Address - Fax:972-781-1355
Practice Address - Street 1:6217 CHAPEL HILL BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8477
Practice Address - Country:US
Practice Address - Phone:214-727-8341
Practice Address - Fax:972-781-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty