Essential Care Diagnostic Services, Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
ESSENTIAL CARE DIAGNOSTIC SERVICES, LLC	1326621939	2021-05-02

The organization Essential Care Diagnostic Services, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1326621939. Registration indicates Essential Care Diagnostic Services, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center, ) (All Other Specialties & Provider Types, ) (Clinic/Center, Ambulatory Health Care Facilities) (Laboratories, Clinical Medical Laboratory) (Clinical Medical Laboratory, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Clinical Medical Laboratory, Laboratories)

Entity Type	Organization

Provider Organization	ESSENTIAL CARE DIAGNOSTIC SERVICES, LLC
Practice Office Address	1636 N HAMPTON RD STE 104B DESOTO, TX US
Practice Office Telephone	9729720698
Mailing Address	1636 N HAMPTON RD STE 104B DESOTO, TX 751158600 US
Business Telephone	9729720698
Authorized Official	CHARLOTTE L JOHNSON, MANAGING OFFICE 9729720698

HPT Codes

Code	Practice	License No State
261Q00000X	Ambulatory Health Care Facilities Clinic/Center Clinic/Center All Other Specialties & Provider Types Clinic/Center Ambulatory Health Care Facilities
291U00000X PRIMARY	Laboratories Clinical Medical Laboratory Clinical Medical Laboratory Diagnostics/Imaging/Laboratory/Mammography Clinical Medical Laboratory Laboratories

OPI Codes

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