Provider Demographics
NPI:1992799274
Name:DIAGNOSTIC HEALTH SERIVCES
Entity type:Organization
Organization Name:DIAGNOSTIC HEALTH SERIVCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-242-8500
Mailing Address - Street 1:5055 KELLER SPRINGS RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-5997
Mailing Address - Country:US
Mailing Address - Phone:214-242-8500
Mailing Address - Fax:
Practice Address - Street 1:5055 KELLER SPRINGS RD
Practice Address - Street 2:SUITE 130
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5997
Practice Address - Country:US
Practice Address - Phone:214-242-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0084DCOtherBCBS OF TEXAS
TXFTA094Medicare PIN
TX0084DCOtherBCBS OF TEXAS