| Lumin Diagnostic Services Llc | |
|
610 Uptown Blvd Ste 691 Cedar Hill TX 75104-3528 | |
| (469) 773-9261 | |
| Not Available |
| Full Name | Lumin Diagnostic Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Uptown Blvd Ste 691, Cedar Hill, Texas |
| Authorized Official Name and Position | Tamanika Marshall (OWNER) |
| Authorized Official Contact | 4697739261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumin Diagnostic Services Llc 610 Uptown Blvd Ste 691 Cedar Hill TX 75104-3528 Ph: () - | Lumin Diagnostic Services Llc 610 Uptown Blvd Ste 691 Cedar Hill TX 75104-3528 Ph: (469) 773-9261 |
| NPI Number | 1215522081 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 6103232723 |
|---|---|
| Medicare Enrollment ID | O20210305001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215522081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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