NPI 1801542824
Privy Diagnostics Labs, LLC
Practice location
- Address
- 3224 Gus Thomasson Rd STE B, Mesquite, TX 75150-4004
- Phone
- (833) 667-7924
- Fax
- (817) 755-0945
- Mailing address
- 1230 N Kimball Ave STE 130, Southlake, TX 76092-4707
Authorised official
- Name
- Taaka Cash
- Title
- Ceo
- Phone
- (833) 667-7924
Registered specialties (8)
Clinical Laboratory Director (Non-physician)
Primary
Community Health Clinic/Center
Health Service Clinic/Center
Infusion Therapy Clinic/Center
Mental Health Clinic/Center (Including Community Mental Health Center)
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
Point of Service
Registry record
- NPI
- 1801542824
- Entity type
- Organization
- NPI issued
- 28 Feb 2022
- Record last updated
- 28 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.