Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diversified Diagnostics

Organization Clinical Medical Laboratory · NPI 1073814448

Diversified Diagnostics is a Clinical Medical Laboratory in Southlake, Texas. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

2225 W Southlake Blvd Ste 124
Southlake, TX 76092-6750
Phone: (817) 879-0962
Fax: (800) 343-8718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1073814448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina York — President · (817) 879-0962
NPI enumeratedNovember 16, 2010
Last updated in NPPESNovember 16, 2010
Mailing address2225 W Southlake Blvd, Suite 124, Southlake, TX 76092-6750

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