Active NPI
Neuline Diagnostics LLC
- Physiological Laboratory
- McKinney, TX
National Provider Identifier
1063076883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- NEULINE DIAGNOSTICS LLC
- Practice address
- 1402 S Custer Rd Ste 302
McKinney, TX 75072-1452 - Phone
- (844) 212-5321
- Fax
- (214) 594-9559
- NPI assigned
- Apr 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank Gray III
- Title
- Owner
- Phone
- (844) 212-5321
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Specialist/Technologist | 246ZE0500X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| EEG Technician | 2472E0500X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
1402 S Custer Rd Ste 302
McKinney, TX 75072-1452
Mailing address
PO Box 6529
McKinney, TX 75071-5114
Phone (844) 212-5321
National Provider Directory
National Provider DirectoryLocations
6675 Mediterranean Dr
Ste 206
McKinney, TX 75072
Phone 84421253212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611792000000",
"number": "1063076883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6529",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750715114",
"telephone_number": "844-212-5321",
"fax_number": "214-594-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S CUSTER RD STE 302",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750721452",
"telephone_number": "844-212-5321",
"fax_number": "214-594-9559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEULINE DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-26",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "844-212-5321",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "246ZE0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2472E0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.