Organization Active NPI

SGK Diagnostics, Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Dallas, TX
National Provider Identifier
1023149317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
SGK DIAGNOSTICS, INC
Practice address
1108 Bally Mote Dr
Dallas, TX 75218-3904
Phone
(214) 729-5260
Fax
(214) 220-9907
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Robin Barry Kuchenbacker
Title
Owner
Phone
(214) 729-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

1108 Bally Mote Dr
Dallas, TX 75218-3904

Mailing address

1108 Bally Mote Dr
Dallas, TX 75218-3904
Phone (214) 729-5260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023149317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BALLY MOTE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183904",
            "telephone_number": "214-729-5260",
            "fax_number": "214-220-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BALLY MOTE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183904",
            "telephone_number": "214-729-5260",
            "fax_number": "214-220-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGK DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUCHENBACKER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-729-5260",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "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 Aug 22, 2020; 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.