SHTH Holdings 2015-1

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2107660 Issued in TX

Legal business name

SHTH HOLDINGS 2015-1

Doing business as

SHTH HealthCare, LLC

Practice address

3101 Churchill Dr
Suite 115-D
Flower Mound, TX 75022-2799

Phone

(817) 809-6817

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Jeffrey Embrey, MD

Title

Lab Director

Phone

(817) 809-6817

Specialties & licenses 1

Addresses

Other names 1

• SHTH HealthCare, LLC Doing business as

Locations

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1053770057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CHURCHILL DR",
            "address_2": "SUITE 115D",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CHURCHILL DR",
            "address_2": "SUITE 115-D",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222799",
            "telephone_number": "817-809-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHTH HOLDINGS 2015-1",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "EMBREY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "817-809-6817",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2107660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHTH HealthCare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shivrudra PLLC
• Carey Shore, RD-LD
• Patrick William Shovlin III, MD
• Amber Showalter, M.S., LPC-INTERN, NC
• Shrirang S. Neurgaonkar MD PA
• Anisa Siam
• Danielle Demarino Sibley, MS-SLP-CCC
• Nicole Catherine Siciliano, DPT
• Marie Siebert, OTR
• Fabian Silva, MS, LBA, BCBA

• Clinical Medical Laboratory in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.