DIAGNOSTIC MEDICAL TESTING INC – Clinic/Center, NPI 1043460744
Clinic/Center
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DIAGNOSTIC MEDICAL TESTING INC
19, Lakeshore Holiday Village, Burgage, The Municipal District of Baltinglass, County Wicklow, Leinster, W91N9F4, Ireland
SUITE 300
HOLIDAY, FL 346913904
Phone: (727) 940-5908
Fax: (866) 323-3781
Type: Mailing
363 N Sam Houston Pkwy E Ste 1100
Houston, TX 770602413
Phone: (877) 202-1191
Fax: (866) 404-2411
Type: Location
780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 234527332
Phone: (877) 202-1191
Fax: (866) 404-2411
Type: Location
1040 Monarch St Ste 330
Lexington, KY 405131852
Phone: (877) 202-1191
Fax: (866) 404-2411
Type: Location
5304 MILE STRETCH DR
HOLIDAY, FL 346906060
Phone: (727) 940-5908
Fax: (866) 404-2411
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (950 days ago).
Enrollment records
8
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100224000575 | O | Clinic/Group Practice | GA | 2025-06-30 |
| O20100408000469 | O | Clinic/Group Practice | FL | TBD |
| O20100423000617 | O | Clinic/Group Practice | NC | TBD |
| O20100817000309 | O | Clinic/Group Practice | TX | TBD |
| O20130603000156 | O | Clinic/Group Practice | KY | 2024-01-31 |
| O20150903001057 | O | Clinic/Group Practice | IL | 2024-10-31 |
| O20151029001722 | O | Clinic/Group Practice | TN | 2023-10-31 |
| O20210409000248 | O | Clinic/Group Practice | VA | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34691)
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