Maxum Health Services Corp

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MAXUM HEALTH SERVICES CORP

Doing business as

InSight Diag Preston

Practice address

17950 Preston Rd
Ste 120
Dallas, TX 75252-5793

Phone

(972) 931-7979

Fax

(972) 931-5212

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian G Drazba

Title

Senior V.P. & Chief Accounting Ofcr

Phone

(949) 282-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• InSight Diag Preston Doing business as

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1013974286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848074",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848074",
            "telephone_number": "949-282-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17950 PRESTON RD",
            "address_2": "STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525793",
            "telephone_number": "972-931-7979",
            "fax_number": "972-931-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUM HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "DRAZBA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR V.P. & CHIEF ACCOUNTING OFCR",
        "authorized_official_telephone_number": "949-282-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130085706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470000905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InSight Diag Preston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxim Healthcare Services, Inc.
• Maxim Medical Supplies LLC
• Maxim Mossman DDS, PLLC
• Maximacare LLC
• Stephanie Lynn Maxson, MS, RD, LD
• Maxum Health Services Corp
• Maxum Health Services Corp
• Kristen Annette Maxvill, PHARM.D., BCPS
• Autumn Maxwell
• Christine Elizabeth Maxwell

• Physiological Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.