MEDICARE: DEMMATEX DIAGNOSTICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1558208603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEMMATEX DIAGNOSTICS INC

Provider Business Mailing Address
First Line	:	1229 COLARADO LANE SUITE 400
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1229 COLARADO LANE SUITE 400
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015
Country	:	US
Telephone Number	:	872-375-8164
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	FNU ARIF AHMED
Credential	:
Telephone Number	:	872-375-8164

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	05/04/2026

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