PRIVY DIAGNOSTICS LABS LLC NPI 1801542824

NPI Information

NPI: 1801542824
Provider Name: PRIVY DIAGNOSTICS LABS, LLC
Classification: Pathology - 247ZC0005X
Specialization: Clinical Laboratory Director, Non-physician
Entity Type: Organization
Address: 3224 GUS THOMASSON RD STE B
MESQUITE, TX
ZIP 75150
Phone: (833) 667-7924

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NPI Details

PRIVY DIAGNOSTICS LABS, LLC is a clinical laboratory director and non-physician pathology in Mesquite, TX. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. PRIVY DIAGNOSTICS LABS, LLC NPI is 1801542824. The provider is registered as an organization entity type.

The provider's business location address is:

3224 GUS THOMASSON RD STE B
MESQUITE, TX
ZIP 75150-004
Phone: (833) 667-7924
Fax: (817) 755-0945

The provider's authorized official is Taaka Cash .
The authorized official title is Ceo and has the following contact phone number (833) 667-7924.

The enumeration date for this NPI number is 2/28/2022 and was last updated on 2/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QH0100X	Clinic/Center	Health Service	No
2	261QI0500X	Clinic/Center	Infusion Therapy	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
6	305S00000X	Point of Service		No
7	261QC1500X	Clinic/Center	Community Health	No
8	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	336552	MEDICAID	TEXAS
2	1114264199	OTHER	TEXAS	INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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