MEDICARE: BENCHMARK DIAGNOSTICS LLC

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	246ZE0500X	EEG Specialist/Technologist
2	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1679951479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENCHMARK DIAGNOSTICS LLC

Provider Business Mailing Address
First Line	:	3020 CANTON ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75226-1605
Country	:	US
Telephone Number	:	214-212-5737
Fax Number	:	214-427-8860

Provider Business Practice Location Address
First Line	:	3020 CANTON ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75226-1605
Country	:	US
Telephone Number	:	214-212-5737
Fax Number	:	214-427-8860

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. ALLEN SULLIVAN
Credential	:
Telephone Number	:	214-212-5737

Provider Enumeration Date	:	05/12/2015
Last Update Date	:	01/18/2016

Similar Medicare Providers

1659731586 — BENCHMARK IOM, LLC
Practice Location Address:

3020 CANTON ST
DALLAS, TX
75226-1605

Practice Phone: 972-403-1702
Practice Fax:

1780613968 — DR. JOEL STEPHEN LOGELIN DC
Practice Location Address:

1605 7 1/2 AVENUE
DALLAS, WI
54733-9457

Practice Phone: 715-837-1622
Practice Fax: 715-837-1622

1215178264 — DALLAS COUNTY HOSPITAL DIST.
Practice Location Address:

2900 MCKINNON ST APT 1605
DALLAS, TX
75201-1067

Practice Phone: 972-413-6600
Practice Fax:

1699071464 — CLARA LUCIA LOBO N.P.
Practice Location Address:

5440 HARVEST HILL RD STE 182
DALLAS, TX
75230-1605

Practice Phone: 972-484-0040
Practice Fax:

1154738862 — MRS. KIRSTY PURIFOY OTR
Practice Location Address:

8331 NORTHMEADOW CIR
DALLAS, TX
75231-1605

Practice Phone: 214-282-2125
Practice Fax:

1265975163 — CARE TRACK CONSULTING LLC
Practice Location Address:

5440 HARVEST HILL RD STE 182
DALLAS, TX
75230-1605

Practice Phone: 214-213-4726
Practice Fax: 866-672-8204

Directions to “BENCHMARK DIAGNOSTICS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.