| Organization Name: | STAR DIAGNOSTICS OF ELLIS COUNTY |
| NPI Number: | 1932151925 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA L RILEY (ADMINISTRATOR) |
| Mailing Address: | 128 N Highway 77 Waxahachie |
| State: | TX US |
| Postal Code: | 751651800 |
| Phone Number: | 2149439431 |
| Fax Number: | 2149439407 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 01/23/2008 |
| 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 |