Provider Demographics
NPI:1831868249
Name:MY DIAGNOSTICS LLC
Entity type:Organization
Organization Name:MY DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:424-333-6273
Mailing Address - Street 1:10500 UNIVERSITY CENTER DR STE 153
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-6415
Mailing Address - Country:US
Mailing Address - Phone:424-333-6273
Mailing Address - Fax:919-341-1256
Practice Address - Street 1:10500 UNIVERSITY CENTER DR STE 153
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-6415
Practice Address - Country:US
Practice Address - Phone:424-333-6273
Practice Address - Fax:919-341-1256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory