Healthcare Provider Details

I. General information

NPI: 1669178927
Provider Name (Legal Business Name): DBACS DRUG & ALCOHOL TESTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 N EDWARDS AVE STE 120
MOUNT PLEASANT TX
75455
US

IV. Provider business mailing address

410 N JEFFERSON AVE STE 328
MOUNT PLEASANT TX
75455-3937
US

V. Phone/Fax

Practice location:
  • Phone: 903-717-1721
  • Fax: 855-536-5616
Mailing address:
  • Phone: 903-717-7121
  • Fax: 855-536-5616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SHERRAINE TAYLOR
Title or Position: CEO
Credential:
Phone: 903-717-7121