Organization Active NPI

Marlobo Iom, LLC

  • Surgical Technologist
  • Dallas, TX
National Provider Identifier
1003288010
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
MARLOBO IOM, LLC
Practice address
4516 Lovers LN
Suite 331
Dallas, TX 75225-6925
Phone
(214) 315-6432
Fax
(214) 317-4667
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benjamin Newman, MD
Title
Owner
Phone
(214) 315-6432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

4516 Lovers LN
Suite 331
Dallas, TX 75225-6925

Mailing address

P.O. Box 678907
Dallas, TX 75267
Phone (214) 315-6432

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1003288010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 678907",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75267",
            "telephone_number": "214-315-6432",
            "fax_number": "214-317-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 LOVERS LN",
            "address_2": "SUITE 331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256925",
            "telephone_number": "214-315-6432",
            "fax_number": "214-317-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLOBO IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-315-6432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.