Provider Demographics
NPI:1699142315
Name:ABSOLUTE DIAGNOSTICS LLC
Entity type:Organization
Organization Name:ABSOLUTE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:YAZMIN
Authorized Official - Last Name:CASTELAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-228-4429
Mailing Address - Street 1:1860 CROWN DR
Mailing Address - Street 2:SUITE 1408
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-9415
Mailing Address - Country:US
Mailing Address - Phone:214-228-4429
Mailing Address - Fax:214-594-9274
Practice Address - Street 1:1860 CROWN DR
Practice Address - Street 2:SUITE 1408
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-9415
Practice Address - Country:US
Practice Address - Phone:214-228-4429
Practice Address - Fax:214-594-9274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory