Pro Health Diagnostics, LLC
Clinical Medical Laboratory in Carrollton, TX. Organization (NPI-2).
Details
- NPI
- 1861865511
- Entity type
- Organization (NPI-2)
- Legal business name
- Pro Health Diagnostics, LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2015
- Last updated
- Nov 3, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1925 E Belt Line RdSuite 512
Carrollton, TX 75006-5801
Phone 972-339-8919 · Fax 888-548-2767
Mailing address
12639 Pond Cypress LnFrisco, TX 75035-0072
Phone 972-339-8919 · Fax 888-548-2767
Authorized official
Jimmy Walker
Owner
9723398919
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 42 Clinical Medical Laboratory providers in Carrollton · All 2,768 providers in Carrollton
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