Organization
PEACHTREE DIAGNOSTICS PLLC
Active
Other names
PeachTree Diagnostics PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BURNS (OWNER)
(903) 708-7018
Entity
Organization
Contact information
Practice address
42 COUNTY ROAD 4164, PITTSBURG, TX 75686-4123
(903) 708-7018
Mailing address
42 COUNTY ROAD 4164, PITTSBURG, TX 75686-4123
(903) 708-7018
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
293D00000X
Physiological Laboratory
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
07/03/2023
Last updated
07/22/2024
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