Provider Demographics
NPI:1770946238
Name:SYNERGY DX
Entity type:Organization
Organization Name:SYNERGY DX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ TECHINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARCELO
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPGST
Authorized Official - Phone:832-962-9121
Mailing Address - Street 1:4610 KATY HOCKLEY CUT OFF RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-7838
Mailing Address - Country:US
Mailing Address - Phone:832-962-9121
Mailing Address - Fax:
Practice Address - Street 1:4610 KATY HOCKLEY CUT OFF RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-7838
Practice Address - Country:US
Practice Address - Phone:832-962-9121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Single Specialty