Provider Demographics
NPI:1750155750
Name:DESERT CITY DIAGNOSTICS LLC
Entity type:Organization
Organization Name:DESERT CITY DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:KARAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:915-422-4544
Mailing Address - Street 1:1125 REGAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7431
Mailing Address - Country:US
Mailing Address - Phone:915-422-4544
Mailing Address - Fax:915-860-3220
Practice Address - Street 1:1030 N ZARAGOZA RD STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-1862
Practice Address - Country:US
Practice Address - Phone:915-422-4544
Practice Address - Fax:915-860-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies