Organization Name: | BSS DIAGNOSTICS, LLC |
NPI Number: | 1700253853 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMBER JONES PACE (CEO) |
Mailing Address: | 6032 County Road 1023 Joshua |
State: | TX US |
Postal Code: | 760585028 |
Phone Number: | 6823251740 |
Fax Number: | 8175494480 |
NPI Enumeration Date: | 08/25/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |