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DIAGNOSTIC CLINIC OF LONGVIEW PA
NPI 1386638468
Internal Medicine in Longview, TX

Active since September 06, 2005CLIA Certified · 7 labs
707 HOLLYBROOK DR, LONGVIEW, TX 75605(903) 757-6042(903) 232-8226 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diagnostic Clinic Of Longview Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC CLINIC OF LONGVIEW PA (NPI 1386638468) is a healthcare organization registered as an internal medicine in Longview, Texas and active in the NPI registry since September 2005. The organization holds 7 active CLIA laboratory certificates and lists Dora C Reeves, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1386638468
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIAGNOSTIC CLINIC OF LONGVIEW PA
Location Address707 HOLLYBROOK DRLongview, TX 75605-2410
Mailing Address707 Hollybrook DrLongview, TX 75605-2410 · (903) 757-6042 · Fax (903) 232-8226
Phone(903) 757-6042
Fax(903) 232-8226
Organization SubpartNo
Authorized OfficialDora C ReevesCredentialing Coordinator · (903) 291-6062
Enumeration DateSeptember 6, 2005
Last NPPES UpdateFebruary 5, 2009
✔ NPI 1386638468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
707 HOLLYBROOK DR, Longview, TX 75605
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Other Identifiers 6

Medicaid130964306TX
Medicaid130964302TX
Medicaid130964307TX
Other45D0482673TX · Dme Rr Medicare
Medicare NSC0668930001TX
Medicare PIN00T453TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0482673

Diagnostic Clinic Of Longview · Longview, TX
Active · expires Mar 28, 2027
CLIA Number45D0482673
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorJana L. Wimmer
Laboratory Phone(903) 757-6042
Laboratory LocationDiagnostic Clinic Of Longview707 Hollybrook, Longview, TX 75605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 45D2048898

Diagnostic Clinic Of Longview- Research Dept · Longview, TX
Active · expires Oct 24, 2026
CLIA Number45D2048898
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorAnita R. Scribner
Laboratory Phone(903) 232-8244
Laboratory LocationDiagnostic Clinic Of Longview- Research Dept707 Hollybrook Dr Suite 501, Longview, TX 75605
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0871561

Diagnostic Clinic Of Longview · Longview, TX
Active · expires Jan 23, 2028
CLIA Number45D0871561
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorFrancis J. Tibiletti
Laboratory Phone(903) 232-8244
Laboratory LocationDiagnostic Clinic Of Longview802 Medical Drive Ste #202, Longview, TX 75605
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0482685

Diagnostic Clinic Of Longview · Longview, TX
Active · expires Nov 7, 2027
CLIA Number45D0482685
Laboratory TypeOther
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorRobert W. Cary
Laboratory Phone(903) 232-8244
Laboratory LocationDiagnostic Clinic Of Longview805 Medical Drive, Longview, TX 75605
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2138912

Diagnostic Clinic Of Longview · Longview, TX
Active · expires Oct 25, 2027
CLIA Number45D2138912
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorJustin Ray Chen
Laboratory Phone(903) 232-8244
Laboratory LocationDiagnostic Clinic Of Longview1009 North 4th Street, Suite A, Longview, TX 75601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2093616

Diagnostic Clinic Of Longview · Longview, TX
Active · expires Mar 30, 2027
CLIA Number45D2093616
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorRobert Wheeler
Laboratory Phone(903) 232-8244
Laboratory LocationDiagnostic Clinic Of Longview802 Medical Drive, Suite 100, Longview, TX 75605
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY ANNE COBB FNP-C
Nurse Practitioner
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Gregg County (903) 291-6223
MORGAN KATHLEEN RHOADES FNP
Nurse Practitioner (Family)
707 HOLLYBROOK DR, DCOL EXPRESS CARE
LONGVIEW, TX 75605
Gregg County (903) 232-8186
DR. JUSTIN COLEMAN HARDIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Gregg County (903) 757-6042
TRACY LEACH NNP-BC
Nurse Practitioner (Neonatal)
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Gregg County (903) 757-6042
DR. ROGER W. KISER MD
Internal Medicine
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Gregg County (903) 757-6042
SHEENA SHIRLEY
Nurse Practitioner (Family)
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Gregg County (903) 757-6042
SAMUEL A HENDERSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Gregg County (903) 757-6042
BLAKE A ROBBINS DO
Dermatology
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Gregg County (903) 232-8230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diagnostic Clinic Of Longview PA's NPI number?

The NPI number for Diagnostic Clinic Of Longview PA is 1386638468. It was assigned to this organization in the NPPES registry on September 6, 2005.

Where is Diagnostic Clinic Of Longview PA located?

Diagnostic Clinic Of Longview PA is located at 707 Hollybrook Dr, Longview, TX 75605. The listed phone number is (903) 757-6042.

What is Diagnostic Clinic Of Longview PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Diagnostic Clinic Of Longview PA hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Diagnostic Clinic Of Longview PA was last updated on February 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.