Provider Demographics
NPI:1902621121
Name:HEALTH SURVEY SCOUT LLC
Entity type:Organization
Organization Name:HEALTH SURVEY SCOUT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-224-5512
Mailing Address - Street 1:11133 SHADY TRL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-4617
Mailing Address - Country:US
Mailing Address - Phone:224-224-5512
Mailing Address - Fax:240-391-1040
Practice Address - Street 1:11133 SHADY TRL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-4617
Practice Address - Country:US
Practice Address - Phone:224-224-5512
Practice Address - Fax:240-391-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2025-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory