Organization
BENCHMARK DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN SULLIVAN (MANAGER)
(214) 212-5737
Entity
Organization
Contact information
Practice address
3020 CANTON ST, DALLAS, TX 75226-1605
(214) 212-5737
(214) 427-8860
Mailing address
3020 CANTON ST, DALLAS, TX 75226-1605
(214) 212-5737
(214) 427-8860
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
01/18/2016
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