Provider Demographics
NPI:1669178927
Name:DBACS DRUG & ALCOHOL TESTING LLC
Entity type:Organization
Organization Name:DBACS DRUG & ALCOHOL TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-717-7121
Mailing Address - Street 1:410 N JEFFERSON AVE STE 328
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-3937
Mailing Address - Country:US
Mailing Address - Phone:903-717-7121
Mailing Address - Fax:855-536-5616
Practice Address - Street 1:1721 N EDWARDS AVE
Practice Address - Street 2:STE 120
Practice Address - City:MOUNT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455
Practice Address - Country:US
Practice Address - Phone:903-717-1721
Practice Address - Fax:855-536-5616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory