Organization
ESSENTIAL CARE DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE L JOHNSON (MANAGING OFFICER)
(972) 972-0698
Entity
Organization
Contact information
Practice address
1636 N HAMPTON RD STE 104B, DESOTO, TX 75115-8600
(972) 972-0698
Mailing address
1636 N HAMPTON RD STE 104B, DESOTO, TX 75115-8600
(972) 972-0698
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
01/18/2022
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