Organization Active NPI

Misi ASC Dallas, LLC

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1073822425
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130080 Issued in TX
Legal business name
MISI ASC DALLAS, LLC
Practice address
10400 N Central Expy
Dallas, TX 75231
Phone
(972) 884-4370
Fax
(972) 884-4321
NPI assigned
Oct 4, 2010
Last updated
Jul 29, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MISI, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Mr. Michael Bassem Rimlawi, DO
Title
Founder/Board Chair
Phone
(972) 884-4301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X TX
Ambulatory Surgical Clinic/Center 261QA1903X 130080 TX Primary

Addresses

Primary practice location

10400 N Central Expy
Dallas, TX 75231

Mailing address

10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4370

Other names 1

  • MISI, PA Former legal business name

National Provider Directory

National Provider Directory
Part of
Misi PA

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1073822425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "972-884-4370",
            "fax_number": "972-884-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "972-884-4370",
            "fax_number": "972-884-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISI ASC DALLAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISI, PA",
        "enumeration_date": "2010-10-04",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "RIMLAWI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BASSEM",
        "authorized_official_title_or_position": "FOUNDER/BOARD CHAIR",
        "authorized_official_telephone_number": "972-884-4301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISI, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 29, 2013; 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.