Active NPI
Medi-Wheels Diagnostics, LLC
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1053089524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MEDI-WHEELS DIAGNOSTICS, LLC
- Practice address
- 5005 LBJ Fwy Ste 840
Dallas, TX 75244-6103 - Phone
- (512) 944-8693
- NPI assigned
- Aug 31, 2021
- Organization subpart
- Yes
- Parent organization
- MEDI-WHEELS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Cimino
- Title
- Ceo
- Phone
- (512) 944-8693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
5005 LBJ Fwy Ste 840
Dallas, TX 75244-6103
Mailing address
5005 LBJ Fwy Ste 840
Dallas, TX 75244-6103
Phone (918) 808-2470
National Provider Directory
National Provider Directory- Part of
- Medi-Wheels LLC
Locations
5890 Imperial Loop
Ste 12
College Station, TX 77845
Phone (707) 454-6580
5005 LBJ
Ste 840
Dallas, TX 75244
Phone (214) 444-5360
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1851941413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650412800000",
"number": "1053089524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 LBJ FWY STE 840",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446103",
"telephone_number": "918-808-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 LBJ FWY STE 840",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446103",
"telephone_number": "512-944-8693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDI-WHEELS DIAGNOSTICS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDI-WHEELS, LLC",
"enumeration_date": "2021-08-31",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A",
"authorized_official_last_name": "CIMINO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-944-8693"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"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 Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.