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Contact Information

CONVERGENT DIAGNOSTICS, LLC
718 S GREENVILLE AVE STE 100
ALLEN, TX75002-3319
 Phone: 214-501-5171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for CONVERGENT DIAGNOSTICS, LLC

NPI Number 1558808204
LBN Legal business name CONVERGENT DIAGNOSTICS, LLC
Authorized official MARC INGRAM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2017
Last updated 04/17/2025 - More than a year ago
Identifiers
TX License # 45D2113081
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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