Provider Demographics
NPI:1366977613
Name:BDS HEALTHCARE LLC
Entity type:Organization
Organization Name:BDS HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-665-7520
Mailing Address - Street 1:1321 VALWOOD PKWY
Mailing Address - Street 2:SUITE 660
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-6882
Mailing Address - Country:US
Mailing Address - Phone:972-665-7520
Mailing Address - Fax:
Practice Address - Street 1:11308 AURORA AVE
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-7907
Practice Address - Country:US
Practice Address - Phone:972-665-7520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory