NPIMap

Organization Active NPI

Mid-Atlantic Mobile Lithotripsy LLC

  • Lithotripsy Clinic/Center
  • Austin, TX
National Provider Identifier
1043456262
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lithotripsy Clinic/CenterTaxonomy code 261QL0400X
Legal business name
MID-ATLANTIC MOBILE LITHOTRIPSY LLC
Practice address
9825 Spectrum Dr
BLDG 3
Austin, TX 78717-4930
Phone
(888) 252-6575
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Theresa Davis
Title
Director, Cbo
Phone
(512) 314-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lithotripsy Clinic/Center 261QL0400X Primary

Addresses

Primary practice location

9825 Spectrum Dr
BLDG 3
Austin, TX 78717-4930

Mailing address

PO Box 847324
Dallas, TX 75284-7324

National Provider Directory

National Provider Directory
Tax ID family
Mid-Atlantic Mobile Lithotripsy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1043456262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847324",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SPECTRUM DR",
            "address_2": "BLDG 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174930",
            "telephone_number": "888-252-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC MOBILE LITHOTRIPSY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR, CBO",
        "authorized_official_telephone_number": "512-314-4331"
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.