=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720732910
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RIGHT NOW DRUG SCREENING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/07/2022
-----------------------------------------------------
Last Update Date | 02/07/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5508 W PLANO PKWY STE 102
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75093-4911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-431-5558
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5508 W PLANO PKWY STE 102
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75093-4911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-431-5558
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. TRACEY OKOLUGBO
-----------------------------------------------------
Credential | NCT, DDRP
-----------------------------------------------------
Telephone | 469-431-5558
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------