TRIDENT DIAGNOSTICS LLC NPI 1962774968

NPI Information

  • NPI: 1962774968
  • Provider Name: TRIDENT DIAGNOSTICS, LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Address: 16801 ADDISON RD STE 124
    ADDISON, TX
    ZIP 75001
  • Phone: (972) 380-5630

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NPI Details

TRIDENT DIAGNOSTICS, LLC is a clinical medical laboratory in Addison, TX. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. TRIDENT DIAGNOSTICS, LLC NPI is 1962774968. The provider is registered as an organization entity type.

The provider's business location address is:

16801 ADDISON RD STE 124
ADDISON, TX
ZIP 75001-696
Phone: (972) 380-5630
Fax: (972) 380-5635

The provider's authorized official is George Cherny .
The authorized official title is Manager and has the following contact phone number (847) 322-2438.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 2/6/2012.

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 License Number License State Primary
1291U00000XClinical Medical LaboratoryTEXASYes

What is NPI?

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This page was last updated on: 3/30/2025

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