Provider Demographics
NPI:1740481753
Name:SYNERGY DIAGNOSTICS INC
Entity type:Organization
Organization Name:SYNERGY DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DRAGOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-420-1481
Mailing Address - Street 1:10455 N CENTRAL EXPWY
Mailing Address - Street 2:# 109-403
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:800-420-1481
Mailing Address - Fax:800-718-7902
Practice Address - Street 1:10455 N CENTRAL EXPWY
Practice Address - Street 2:# 109-403
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:800-420-1481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory