Organization Active NPI

Medi-Wheels Diagnostics, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1053089524
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.