| Essential Care Diagnostic Services, Llc | |
|
1636 N Hampton Rd Ste 104b Desoto TX 75115-8600 | |
| (972) 972-0698 | |
| Not Available |
| Full Name | Essential Care Diagnostic Services, Llc |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 1636 N Hampton Rd Ste 104b, Desoto, Texas |
| Authorized Official Name and Position | Charlotte L Johnson (MANAGING OFFICER) |
| Authorized Official Contact | 9729720698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Care Diagnostic Services, Llc 1636 N Hampton Rd Ste 104b Desoto TX 75115-8600 Ph: (972) 972-0698 | Essential Care Diagnostic Services, Llc 1636 N Hampton Rd Ste 104b Desoto TX 75115-8600 Ph: (972) 972-0698 |
| NPI Number | 1326621939 |
|---|---|
| Provider Enumeration Date | 05/02/2021 |
| Last Update Date | 01/18/2022 |
| Medicare PECOS PAC ID | 6002212537 |
|---|---|
| Medicare Enrollment ID | O20210909001325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326621939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Primary |
Nallu R Reddy Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 Bolton Boone Dr, 111, Desoto, TX 75115 Phone: 972-780-0357 Fax: 972-780-7829 | |
Elite Np Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 E Pleasant Run Rd Ste B, Desoto, TX 75115 Phone: 682-325-9617 | |
Compassionate Family Health Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2727 Bolton Boone Dr Ste 110, Desoto, TX 75115 Phone: 972-685-2494 Fax: 972-739-2436 | |
Priceless Beauty Spa,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 June Bug Ln, Desoto, TX 75115 Phone: 972-358-8109 Fax: 872-888-0554 | |
Ricardo Quezada Real Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 York Dr Ste 103, Desoto, TX 75115 Phone: 972-866-4311 Fax: 972-866-4312 | |
Mahesh Kottapalli, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2727 Bolton Boone Dr, Suite109, Desoto, TX 75115 Phone: 972-283-2370 Fax: 972-296-0311 | |
Southwest Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 N Hampton Rd, Desoto, TX 75115 Phone: 972-709-2828 |